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带隧道的血液透析导管进入椎管：一种罕见的并发症。

Tunneled Hemodialysis Catheter Making its Way into the Spinal Canal: An Unusual Complication.

作者信息

Saha Anish Kumar, Bodhey Narendra Kuber, Kashyap Nitin Kumar, Rathore Vinay, Badge Rohit Paras, Aggarwal Jyoti, Pathak Naman Mahesh

机构信息

Department of Nephrology, All India Institute of Medical Sciences, Raipur, Tatibandh, Chhattisgarh, India.

Department of Radiodiagnosis, All India Institute of Medical Sciences, Raipur, Tatibandh, Chhattisgarh, India.

出版信息

Indian J Nephrol. 2025 May-Jun;35(3):425-426. doi: 10.25259/IJN_53_2024. Epub 2024 May 18.

DOI:10.25259/IJN_53_2024
PMID:40352882
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12065573/
Abstract

The procedure of tunnelled hemodialysis catheter insertion is generally considered safe. We report the case of a lady who had a malpositioned femoral tunneled hemodialysis catheter that entered into the spinal canal causing neurological weakness. The catheter was later safely removed leading to partial neurological recovery.

摘要

隧道式血液透析导管插入术通常被认为是安全的。我们报告了一例女性患者，其股部隧道式血液透析导管位置不当，进入了椎管，导致神经功能障碍。该导管后来被安全移除，患者神经功能部分恢复。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3c4e/12065573/f16e6839bab7/IJN-35-3-425-g2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3c4e/12065573/4ae6c8f29526/IJN-35-3-425-g1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3c4e/12065573/f16e6839bab7/IJN-35-3-425-g2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3c4e/12065573/4ae6c8f29526/IJN-35-3-425-g1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3c4e/12065573/f16e6839bab7/IJN-35-3-425-g2.jpg

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Tunneled Hemodialysis Catheter Making its Way into the Spinal Canal: An Unusual Complication.带隧道的血液透析导管进入椎管：一种罕见的并发症。
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本文引用的文献

1
Feasibility Analysis of Ultrasound-Guided Placement of Tunneled Hemodialysis Catheters.超声引导下隧道式血液透析导管置入的可行性分析
Kidney Int Rep. 2023 Aug 11;8(10):2001-2007. doi: 10.1016/j.ekir.2023.07.038. eCollection 2023 Oct.
2
Haemodialysis vascular access: current practices amongst Indian nephrologists.血液透析血管通路：印度肾脏病学家的当前实践
J Vasc Access. 2018 Mar;19(2):172-176. doi: 10.5301/jva.5000817. Epub 2018 Feb 19.
3
Update on Insertion and Complications of Central Venous Catheters for Hemodialysis.血液透析中心静脉导管置入术及其并发症的最新进展
Semin Intervent Radiol. 2016 Mar;33(1):31-8. doi: 10.1055/s-0036-1572547.
4
Malposition of Central Venous Catheter: Presentation and Management.中心静脉导管位置异常：表现与处理
Chin Med J (Engl). 2016 Jan 20;129(2):227-34. doi: 10.4103/0366-6999.173525.
5
Temporary hemodialysis catheters: recent advances.临时血液透析导管：最新进展
Kidney Int. 2014 Nov;86(5):888-95. doi: 10.1038/ki.2014.162. Epub 2014 May 7.