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无名静脉狭窄合并同侧高动力性肱静脉-头静脉内瘘导致同侧肢体及半侧面部肿胀。

Innominate Vein Stenosis in Association with Ipsilateral Hyperdynamic Brachiobasilic Fistula Causing Ipsilateral Limb and Hemifacial Swelling.

作者信息

Narendra J B, Sreenivas J, Karthikeyan V S, Nagaraja N H

机构信息

Department of Urology, Institute of Nephro Urology, Bengaluru, Karnataka, India.

出版信息

Indian J Nephrol. 2017 Nov-Dec;27(6):452-455. doi: 10.4103/0971-4065.194393.

DOI:10.4103/0971-4065.194393
PMID:29217882
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5704410/
Abstract

A 34-year-old hypertensive woman with a hyperdynamic, left brachiobasilic dialysis fistula presented with a long history of throbbing in her head and swelling of the left side of the face. Tight stenosis of left brachiocephalic vein was found to be causing retrograde flow into the left jugular vein which normalized after dilatation and stenting with resolution of all the symptoms and patient is asymptomatic for 1 year.

摘要

一名34岁的高血压女性，其左肱静脉 - 贵要静脉动静脉内瘘血流动力增强，出现长期头部搏动和左侧面部肿胀。发现左头臂静脉严重狭窄导致血液逆行流入左颈静脉，扩张和支架置入后血流恢复正常，所有症状均消失，患者1年来一直无症状。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3a81/5704410/e5bc1eca8c4f/IJN-27-452-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3a81/5704410/11e8da8d3ee1/IJN-27-452-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3a81/5704410/d656a6e24415/IJN-27-452-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3a81/5704410/d40cb55328a9/IJN-27-452-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3a81/5704410/e5bc1eca8c4f/IJN-27-452-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3a81/5704410/11e8da8d3ee1/IJN-27-452-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3a81/5704410/d656a6e24415/IJN-27-452-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3a81/5704410/d40cb55328a9/IJN-27-452-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3a81/5704410/e5bc1eca8c4f/IJN-27-452-g004.jpg

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本文引用的文献

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Central vein stenosis: a nephrologist's perspective.中心静脉狭窄：肾脏病学家的观点。
Semin Dial. 2007 Jan-Feb;20(1):53-62. doi: 10.1111/j.1525-139X.2007.00242.x.
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Cerebral venous hypertension and blindness: a reversible complication.脑静脉高压与失明：一种可逆性并发症。
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Pseudotumor cerebri: an unusual complication of brachiocephalic vein thrombosis associated with hemodialysis catheters.假性脑瘤：与血液透析导管相关的头臂静脉血栓形成的一种罕见并发症。
Am J Kidney Dis. 1998 May;31(5):E3. doi: 10.1016/s0272-6386(98)70065-4.
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The dialysed lady with one swollen cheek.那位脸颊一侧肿胀的接受透析治疗的女士。
Nephrol Dial Transplant. 1997 Oct;12(10):2188-90. doi: 10.1093/ndt/12.10.2188.
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NKF-DOQI clinical practice guidelines for vascular access. National Kidney Foundation-Dialysis Outcomes Quality Initiative.NKF-DOQI血管通路临床实践指南。美国国家肾脏基金会-透析预后质量倡议组织。
Am J Kidney Dis. 1997 Oct;30(4 Suppl 3):S150-91.
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Idiopathic left innominate vein stenosis manifested following the creation of arteriovenous fistula in uremia.特发性左无名静脉狭窄在尿毒症患者动静脉内瘘建立后出现。
Am J Nephrol. 1994;14(2):142-4. doi: 10.1159/000168703.
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The incidence of subclavian vein stenosis using silicone catheters for hemodialysis.使用硅胶导管进行血液透析时锁骨下静脉狭窄的发生率。
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