中国血液净化

中国血液净化 ›› 2013, Vol. 12 ›› Issue (04): 226-227.

• 透析查房 • 上一篇    下一篇

老年血透患者锁骨下静脉狭窄的诊治体会

朱蓓1,裴小华1,王翠玉1,袁海川1,王蕾1,梅竹1,赵卫红2   

  1. 1. 江苏省人民医院
    2. 南京医科大学第一附属医院
  • 收稿日期:2012-10-10 修回日期:2012-11-19 出版日期:2013-04-12 发布日期:2013-07-01
  • 通讯作者: 赵卫红 E-mail:zhaoweihong_1@medmail.com.cn

The realization of diagnosis of subclavian vein stenosis in the aged hemodialysis patients

  • Received:2012-10-10 Revised:2012-11-19 Online:2013-04-12 Published:2013-07-01

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摘要： 目的 探讨老年透析患者锁骨下静脉狭窄的诊断、治疗经验。方法 回顾江苏省人民医院老年肾科2012年4-7月收治的2例锁骨下狭窄患者的临床资料，总结诊治经验。结果 2名上肢肿胀的老年男性透析病人，经静脉造影确诊为锁骨下静脉狭窄，分别采用单纯球囊扩张、球囊扩张+支架置入术，症状得以缓解。结论 介入方法治疗血管通路相关的中心静脉狭窄，安全简便，疗效显著,值得临床推广。

关键词: 锁骨下静脉狭窄, 血液透析, 血管造影, 球囊扩张, 支架置入

Abstract: Objectives To explore the diagnosis and management experiences of subclavian vein stenosis in the aged hemodialysis patients. Methods We retrospectively analyzed two cases with subclavian vein stenosis in the aged hemodialysis patients from April to July 2012, analyzed and summarized the experiences of diagnosis and treatment. Results The two hemodialysis patients with edema in upper limbs were diagnosed by venograpy, and the symptoms were resolved by simple angioplasty and angioplasty plus stent implantation. Conclusions The interventional stent implantation is a minimally invasive and efficient method for subclavian vein stenosis in the aged hemodialysis patients.

Key words: Subclavian vein stenosis, hemodialysis, venography, angioplasty, stent implantation