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題 名 | Nonocclusive Mesenteric Ischemia in a Chronic Hemodialysis Patient=長期血液透析病患之非阻塞性腸繫膜缺血症 |
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作 者 | 黃永新; 林信昌; 吳志仁; 曾岐元; 陳漢湘; | 書刊名 | 臺灣腎臟醫學會雜誌 |
卷 期 | 24:2 2010.06[民99.06] |
頁 次 | 頁109-113+130 |
分類號 | 415.47 |
關鍵詞 | 非阻塞性腸繫膜缺血症; 血液透析; 透析中低血壓; Nonocclusive mesenteric ischemia; Hemodialysis; Intradialytic hypotension; |
語 文 | 英文(English) |
中文摘要 | 非阻塞性腸繫膜缺血症的特點是雖然動脈是通暢的,但腸子卻有進行性的缺血甚至梗塞的變化。它的高致死率是與延誤診斷及治療有關。在一般人中,老年人和有心臟病史是高危險群。在長期血液透析患者,易有脫水過度和透析中低血壓的情形,會使它的發生率增加。此外,急性血管內水份大量流失例如嚴重腹瀉或嘔吐也可同樣視為是危險因子。我們提出一位無發生透析中低血壓的長期血液透析患者。以嚴重腹瀉後併發非阻塞性腸繫膜缺血症。對血液透析患者而言,雖只是非特異性的腹部症狀表現,仍應即時將非阻塞性腸繫膜缺血症列為鑑別診斷之一,才能提高這種致命性疾病的存活率。 |
英文摘要 | Nonocclusive mesenteric ischemia (NOMI) is characterized by progressive intestinal ischemia and infarction despite having a patent artery. The high mortality rate of NOMI is due to delayed diagnosis and treatment initiation. In the genera; population, old age and cardiac disease are known as risk factors for this complication. However, NOMI occurs at an increased frequency in chronic hemodialysis (HD) patients because they usually have predisposing risks of intensive ultrafiltration and intradialytic hypotension. Other conditions of acute intravascular volume depletion, such as profound diarrhea or vomiting, also mirror the same risks for NOMI. We present a case of NOMI after acute severe diarrhea in a chronic HD patient without previous obvious intradialytic hypotension. Timely anticipation of NOMI as one of the many differential diagnoses of nonspecific abdominal symptoms in HD patients is of utmost importance for survival in this fatal syndrome. |
本系統中英文摘要資訊取自各篇刊載內容。