Mactier R A, Stewart W K, Parham D M, Tainsh J A
University Department of Medicine, Ninewells Hospital and Medical School, Dundee, UK.
Nephron. 1990;54(4):347-50. doi: 10.1159/000185894.
We describe a young male non-smoker who developed acral gangrene within 4 months of commencing haemodialysis. Amputation of the left hand proximal to the wrist was ultimately required. The onset of peripheral gangrene in this dialysis patient is attributed to calcific azotaemic arteriopathy and the steal effect of an arteriovenous fistula.
我们描述了一名年轻的不吸烟男性,他在开始血液透析后的4个月内发生了肢端坏疽。最终需要在腕关节近端截肢左手。该透析患者外周坏疽的发生归因于钙化性氮质血症性动脉病和动静脉瘘的盗血效应。