Seukeran D, Fletcher S, Sellars L, Vestey J P
Department of Dermatology, General Infirmary, Leeds, U.K.
Br J Dermatol. 1997 Dec;137(6):997-9.
A 37-year-old woman with chronic renal failure developed pain in the right flank during haemodialysis followed by rapid and dramatic deepening of pigmentation. Investigation indicated that the cause was severe haemolysis most probably due to mechanical damage to red blood cells passing through a stenosis in a dialysis blood line. Severe haemolysis should be suspected in subjects who suffer rapidly increasing pigmentation during dialysis. Such severe haemolysis should be recognized and treated rapidly since it may produce life-threatening systemic problems.
一名37岁的慢性肾衰竭女性在血液透析期间出现右胁腹疼痛，随后色素沉着迅速且显著加深。调查表明，病因是严重溶血，很可能是由于通过透析血路狭窄处的红细胞受到机械损伤所致。对于在透析期间色素沉着迅速加重的患者，应怀疑有严重溶血。这种严重溶血应迅速识别并治疗，因为它可能会引发危及生命的全身问题。
