Ho L-C, Chiang C-K, Huang J-W, Hung K-Y, Wu K-D
Department of Internal Medicine, National Taiwan University Hospital, School of Medicine, National Taiwan University, Taipei, Taiwan.
Clin Nephrol. 2009 Apr;71(4):451-3. doi: 10.5414/cnp71451.
Total or near-total rupture of the pectoralis major muscle is rare. It has mainly occurred in male patients between 20 - 40 years of age while performing weight-lifting. Major tendon rupture is a rare but well-documented complication of long-term dialysis. However, rupture of pectoralis major in dialysis patients had never been reported before. Here, we present a pectoralis major rupture in an elderly patient receiving maintenance hemodialysis. Both old age and long-term dialysis could be risk factors of rupture. The clinicians should pay more attention to this complication when taking care of elderly patients on hemodialysis.
胸大肌完全或近乎完全断裂较为罕见。主要发生在20至40岁的男性患者在进行举重运动时。主要肌腱断裂是长期透析罕见但有充分文献记载的并发症。然而，此前从未有透析患者胸大肌断裂的报道。在此，我们报告一例接受维持性血液透析的老年患者发生胸大肌断裂。高龄和长期透析都可能是断裂的危险因素。临床医生在照料接受血液透析的老年患者时应更多关注这一并发症。
