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开始持续肾脏替代治疗后，同一带隧道透析导管内出现静脉血向动脉血转变：一例报告

From Venous to Arterial Blood in the Same Tunneled Dialysis Catheter After Starting a Continuous Renal Replacement Therapy: A Case Report.

作者信息

Becquet Amandine, Hermet Pierre Louis, Bertrand Dominique, Verbecke Amandine, Grall Maximilien, Girault Christophe, Nicolas Jonathan

机构信息

Department of Medical Intensive Care Unit, CHU Rouen, Rouen, France.

Department of Radiology, CHU Rouen, Rouen, France.

出版信息

Semin Dial. 2025 May-Jun;38(3):221-224. doi: 10.1111/sdi.13235. Epub 2024 Dec 17.

DOI:10.1111/sdi.13235
PMID:39690729
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12076181/
Abstract

Tunneled dialysis catheter is the alternative for dialysis patients who cannot benefit from an arteriovenous fistula. The insertion of such catheters is usually ultrasound-guided to prevent complications. A 36-year old patient had an unexpected complication following the insertion of a right femoral tunneled dialysis catheter: Although the blood collected from the catheter was venous after insertion, the blood turned arterial few minutes after initiating a continuous renal replacement therapy (CRRT). It became venous again after stopping the therapy. The first, yet unlikely hypothesis, was an arterial location of the catheter. In fact, it turned out not to be. We describe the management of such a case.

摘要

隧道式透析导管是无法从动静脉内瘘中获益的透析患者的替代选择。此类导管的插入通常在超声引导下进行，以预防并发症。一名36岁患者在插入右侧股静脉隧道式透析导管后出现了意想不到的并发症：尽管插入后从导管采集的血液是静脉血，但在开始持续肾脏替代治疗（CRRT）几分钟后，血液变成了动脉血。停止治疗后又变回静脉血。第一个也是不太可能的假设是导管位于动脉内。事实上，结果并非如此。我们描述了该病例的处理过程。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2b1b/12076181/38d226f3a189/SDI-38-221-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2b1b/12076181/d08f5cd14df3/SDI-38-221-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2b1b/12076181/38d226f3a189/SDI-38-221-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2b1b/12076181/d08f5cd14df3/SDI-38-221-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2b1b/12076181/38d226f3a189/SDI-38-221-g001.jpg

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