塑料性支气管炎：儿童长期血液透析导管放置的罕见并发症。
Plastic bronchitis: a rare complication of long-term haemodialysis catheter placement in a child.
机构信息
Division of Nephrology, The Hospital for Sick Children, 555 University Avenue, Toronto, ON, M5G 1X8, Canada.
University College Dublin School of Medicine, Dublin, Ireland.
出版信息
Pediatr Nephrol. 2017 Sep;32(9):1635-1638. doi: 10.1007/s00467-017-3717-1. Epub 2017 Jun 22.
BACKGROUND
Despite peritoneal dialysis being the preferred mode of renal replacement therapy in neonates and infants, long-term haemodialysis may be necessary in a minority of patients with its attendant risks.
CASE DIAGNOSIS/TREATMENT: This case identifies plastic bronchitis as a rare yet serious complication of long-term large bore vascular access when a vessel-sparing approach is not possible.
CONCLUSIONS
An appropriately sized catheter should be used for the dialytic therapy required and to optimize access survival.
背景
尽管腹膜透析是新生儿和婴儿首选的肾脏替代治疗模式，但少数患者可能需要长期血液透析，其伴随的风险也不容小觑。
病例诊断/治疗：本病例确定了在无法采用血管保留方法时，长期大口径血管通路会导致一种罕见但严重的并发症——塑料支气管病。
结论
应根据所需的透析治疗以及优化血管通路的生存情况选择合适尺寸的导管。
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