长期腹膜透析患者伴下肢动脉硬化闭塞症一例并文献复习

Long-Term Peritoneal Dialysis Patient with Lower Limb Atherosclerotic Occlusive Disease: A Case Report and Literature Review

目的:通过1例腹膜透析患者合并下肢动脉闭塞的病例,探讨该病例诊治线索以及治疗时机。方法:回顾性分析我院1例腹膜透析患者合并下肢动脉闭塞临床表现、诊治思路、治疗结局,并进行相关文献复习。结果:该例患者因感染、合并症多,最终死亡。结论:因严重肢体缺血接受下肢动脉闭塞干预且同时患有CKD/ESRD的患者发生大截肢和早期死亡的风险增加。

Objective: A case of a peritoneal dialysis patient with lower limb arterial occlusion is used to discuss the clues to the diagnosis and management of the case and the timing of treatment. Methods: A ret-rospective analysis of the clinical manifestations, diagnostic ideas and treatment outcomes of a case of combined lower limb arterial occlusion in a peritoneal dialysis patient at our hospital, and a re-view of the relevant literature. Results: Patients due to numerous infections, comorbidities had died eventually. Conclusion: Patients undergoing lower limb arterial occlusion intervention for severe limb ischaemia who also have CKD/ESRD are at increased risk of major amputation and early death.