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经永存左上腔静脉血液透析置管1例

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摘要 本文报道1例经永存左上腔静脉血液透析置管的患者。患者男,29岁,因“呕吐、牙龈出血1周”进行生化指标检查(血肌酐4197μmol/L),于外院行右侧股静脉临时导管置管后进行连续性肾脏替代治疗,1周后转入北京市垂杨柳医院肾内科,诊断为慢性肾衰竭(尿毒症期)、急性左心衰竭,继续进行连续性肾脏替代治疗,因右侧股静脉临时导管的使用时间大于1周,血流量欠佳,故行左侧颈内静脉插管,置入带隧道和涤纶套的透析导管,置管后的影像学检查提示可能存在血管变异,进一步的造影检查显示患者存在永存左上腔静脉。后续血液透析过程中患者生命体征平稳,无心悸、胸闷、胸痛等不适。截至目前,患者经永存左上腔静脉置入带隧道和涤纶套的透析导管已有8个月,导管功能良好,透析血流量为250~300 ml/min,仍在继续保留使用中,尚未发生中心静脉导管相关并发症。
出处 《中国医刊》 CAS 2024年第12期1390-1391,共2页 Chinese Journal of Medicine
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