中国血液净化

中国血液净化 ›› 2023, Vol. 22 ›› Issue (08): 683-640.doi: 10.3969/j.issn.1671-4091.2023.08.016

• 透析查房 • 上一篇    

血液透析患者动静脉内瘘血栓后手法按摩致肢端动脉菌栓播散1例并文献复习

杨艳丽   张丽红   李 文   孟福磊   阮 琳   

  1. 050000 石家庄，1河北医科大学第一医院肾内二科
  • 收稿日期:2023-03-29 修回日期:2023-06-22 出版日期:2023-08-12 发布日期:2023-08-12
  • 通讯作者: 阮琳 E-mail:ruanlintt@163.com
  • 基金资助:
    河北省重点科技研究计划(20221382)

Bacterial thrombus in acral arteries due to spread of arteriovenous fistula thrombosis by manual massage in one case, and review of the literature

YANG Yan-li, ZHANG Li-hong, LI Wen, MENG Fu-lei, RUAN Lin   

  1. Department of Nephrology, Hebei Medical University First Hospital, Shijiazhuang 050000, China
  • Received:2023-03-29 Revised:2023-06-22 Online:2023-08-12 Published:2023-08-12
  • Contact: 050000 石家庄，1河北医科大学第一医院肾内二科 E-mail:ruanlintt@163.com

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摘要： 自体动静脉内瘘(autogenous arteriovenous fistula,AVF)血栓形成是血液透析患者内瘘失功的常见病因。手法按摩因简单便捷被用于AVF血栓的紧急处理，但其可导致感染、栓子脱落等并发症，甚至危及生命。河北医科大学第一医院肾内二科收治1例AVF血栓形成后，因手法按摩致肢端动脉菌栓播散，合并多发转移性脓肿的患者，临床罕见，特为报道。

关键词: 动静脉内瘘, 血栓, 手法按摩, 感染, 高毒力肺炎克雷伯菌

Abstract: Autogenous arteriovenous fistula (AVF) thrombosis is a common cause of fistula failure in hemodialysis patients. Manual massage is used for emergency treatment of AVF thrombosis due to its simplicity and convenience, but it can lead to complications such as infection, and thrombus detachment, and even endanger lives. We have treated one case with AVF thrombosis. The bacterial emboli in the limb artery were disseminated due to manual massage, accompanied by multiple metastatic abscesses. This is a rare clinical case we reported here.

Key words: Autogenous arteriovenous fistula, Thrombosis, Manual massage, Infection, Hypervirulent Klebsiella pneumoniae

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