Miller Lisa M, MacRae Jennifer M, Kiaii Mercedeh, Clark Edward, Dipchand Christine, Kappel Joanne, Lok Charmaine, Luscombe Rick, Moist Louise, Oliver Matthew, Pike Pamela, Hiremath Swapnil
Max Rady College of Medicine, University of Manitoba, Winnipeg, Canada.
Department of Cardiac Sciences, Cumming School of Medicine, University of Calgary, Alberta, Canada.
Can J Kidney Health Dis. 2016 Sep 27;3:2054358116669130. doi: 10.1177/2054358116669130. eCollection 2016.
Noninfectious hemodialysis catheter complications include catheter dysfunction, catheter-related thrombus, and central vein stenosis. The definitions, causes, and treatment strategies for catheter dysfunction are reviewed below. Catheter-related thrombus is a less common but serious complication of catheters, requiring catheter removal and systemic anticoagulation. In addition, the risk factors, clinical manifestation, and treatment options for central vein stenosis are outlined.
非感染性血液透析导管并发症包括导管功能障碍、导管相关血栓形成和中心静脉狭窄。以下将对导管功能障碍的定义、病因及治疗策略进行综述。导管相关血栓形成是一种较少见但严重的导管并发症,需要拔除导管并进行全身抗凝治疗。此外,还概述了中心静脉狭窄的危险因素、临床表现及治疗选择。