el-Reshaid K, Kapoor M, Shuhaiber H
Al-Amiri Renal Center, Kuwait.
Nephron. 1992;62(1):90-2. doi: 10.1159/000187002.
We report here a chronic haemodialysis patient who had severe anaemia following replacement of his aortic valve. The investigations confirmed a traumatic valve effect. The surgeons were reluctant to replace the valve because of the high cardiothoracic risk and absence of significant leak or stenosis. Furthermore, the patient refused to consider additional surgery. We changed his modality of dialysis to continuous ambulatory peritoneal dialysis; subsequently, there was a dramatic decrease in his transfusion requirement, and the patient was symptomatically and functionally better. A literature search indicates that this therapeutic response has not been reported before.
我们在此报告一名慢性血液透析患者，其在主动脉瓣置换术后出现严重贫血。检查证实存在瓣膜创伤效应。由于心胸手术风险高且无明显渗漏或狭窄，外科医生不愿更换瓣膜。此外，患者拒绝考虑再次手术。我们将其透析方式改为持续非卧床腹膜透析；随后，他的输血需求大幅下降，患者在症状和功能方面均有所改善。文献检索表明，此前尚未报道过这种治疗反应。
