Nepal Mediciti Hospital, Karyabinayak, Lalitpur, Nepal.
Nepal Medical College and Teaching Hospital, Jorpati, Kathmandu, Nepal.
JNMA J Nepal Med Assoc. 2022 Jul 1;60(251):648-650. doi: 10.31729/jnma.7603.
Hemodialysis is one of the treatment modalities for advanced kidney disease and can help an individual live an active life despite failing kidneys. Although it improves the quality of life, it is not completely risk-free. It has several complications, among which, thrombus formation is common. We report a case of a 63-year-old man who presented at our institution for regular hemodialysis with recurrent arteriovenous graft failure. Because doppler ultrasound is a non-invasive procedure that can identify a thrombus in a vein, it is the best initial option for patients with internal jugular vein thrombosis. The use of ultrasound not only can guide a catheter pathway but can also help in early diagnosis and prevent complications following catheterization in a vein with a thrombus.
central venous catheterization; chronic kidney disease; hemodialysis; thrombus.
译文：
血液透析是治疗晚期肾病的方法之一，可以帮助个人尽管肾脏衰竭仍能过积极的生活。虽然它提高了生活质量，但也不是完全没有风险。它有几个并发症，其中血栓形成很常见。我们报告了一例 63 岁男性，因反复动静脉移植物失败到我院接受常规血液透析。由于多普勒超声是一种可以识别静脉内血栓的非侵入性程序，因此对于颈内静脉血栓形成的患者来说，它是最佳的初始选择。使用超声不仅可以引导导管通路，还可以帮助在有血栓的静脉内进行导管插入术时进行早期诊断和预防并发症。
关键词：中心静脉置管术;慢性肾脏病;血液透析;血栓。
