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相關文獻
- Hemodialysis via Right Atrium Permcath: A Case Report
- 照顧一位長期血液透析病人--血管通路多次重建的護理經驗
- Pseudoaneurysm of Common Carotid Artery: A Complication from Cannulation of Jugular Vein Hemodialysis Catheter
- Percutaneous Transluminal Angioplasty for Dysfunctioned Vascular Access in Chronic Hemodialysis Patients
- Directional Atherectomy for Vascular Access Salvage in Chronic Hemodialysis Patients
- 概觀血液透析之血管通路
- 血管通路功能不良的病理機轉
- 血管通路栓塞的危險因子與預防
- 血液透析的經皮血管通路
- Permcath導管的簡介
頁籤選單縮合
題名 | Hemodialysis via Right Atrium Permcath: A Case Report=以右心房永久性雙腔導管為血液透析血管通路--病例報告 |
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作者 | 陳奕霖; 夏清智; | 書刊名 | 北市醫學雜誌 |
卷期 | 15:4 2018.12[民107.12] |
頁次 | 頁64-68 |
分類號 | 415.816 |
關鍵詞 | 右心房永久性雙腔導管; 血管通路; 血液透析; Hemodialysis; Vascular access; Permcath; |
語文 | 英文(English) |
中文摘要 | 血管通路提供血液透析時所需的大量血液流出及流入人體,然隨著血管通路的使用時間、產生併發症如血栓、導管感染等等可能造成原先血管通路的失效,而最終須採用永久性雙迴路導管(Permcath)進行血液透析。此篇病例報告的病人經過多次永久性雙迴路導管置換,當植入導管的血管如內頸靜脈、鎖骨下靜脈等都已產生併發症,無法再植入導管,最終選擇將導管經右心房植入,且繼續接受了接近8個月的血液透析。回顧過去文獻有少數不尋常血管通路的病例報告,如經肝靜脈、經腰椎進入下腔靜脈或直接進入心臟的方式,提供給病患在可植入血管通路的血管消耗殆盡時一個能繼續接受血液透析的機會。 |
英文摘要 | Vascular access provides a huge blood flow that is needed during hemodialysis. However, the complications of long-term dialysis, such as infection and thrombosis, might lead the failure of a vascular access. Here, we present a patient who experienced multiple vascular access failures and all the common insertion sites of permcath were not feasible. Finally, the permcath was inserted into the right atrium through sternostomy and the patient had kept hemodialysis for over 8 months. A review of previous studies documented case reports of uncommon site of vascular access. Transhepatic vein, translumber vena cava and intracardiac permcath insertion had been reported with different vascular survival time, ranged from 8 days to 25months. The uncommon site of vascular access provides a way to keep continuing hemodialysis for patients whose common vascular insertion sites were exhausted. |
本系統之摘要資訊系依該期刊論文摘要之資訊為主。