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纠正中心静脉阻塞后发生高输出性心力衰竭:病例报告。

Development of high-output heart failure after correction of central venous occlusion: a case report.

机构信息

Division of Nephrology, Department of Internal Medicine, Faculty of Medicine, Mersin University, Mersin, Turkey.

出版信息

Ren Fail. 2011;33(8):833-6. doi: 10.3109/0886022X.2011.602458. Epub 2011 Aug 2.

Abstract

Temporary or permanent central venous catheter (CVC) insertion has been performed frequently for hemodialysis treatment. One of the most important long-term complications of CVC is the central venous occlusion (CVO). Treatment of CVO consists of percutaneous angioplasty (PTA), PTA and stent implantation, or surgical procedure for resistant occlusions. Clinical outcome and long-term results of the revascularization procedures are well documented. However, there is no clear information about acute medical complications of the procedures. High-output heart failure (HOHF) is associated with several diseases including chronic anemia, psoriasis, systemic arteriovenous fistula, sepsis, hypercapnia, multiple myeloma, and hyperthyroidism. Herein, we report a case of chronic kidney disease with CVO that developed acute HOHF immediately after the revascularization procedure (PTA and stenting).

摘要

临时或永久中心静脉置管(CVC)经常用于血液透析治疗。CVC 的一个最重要的长期并发症是中心静脉阻塞(CVO)。CVO 的治疗包括经皮血管成形术(PTA)、PTA 和支架植入术,或用于难治性阻塞的手术。血管再通手术的临床结果和长期结果已有详细记录。然而,关于这些手术的急性医疗并发症尚没有明确的信息。高输出心力衰竭(HOHF)与多种疾病有关,包括慢性贫血、银屑病、体循环动静脉瘘、脓毒症、高碳酸血症、多发性骨髓瘤和甲状腺功能亢进症。本文报告了一例慢性肾脏病合并 CVO 患者,在血管再通(PTA 和支架植入术)后立即发生急性 HOHF。

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