长期腹膜透析患者伴下肢动脉硬化闭塞症一例并文献复习
Long-Term Peritoneal Dialysis Patient with Lower Limb Atherosclerotic Occlusive Disease: A Case Report and Literature Review
DOI: 10.12677/ACM.2022.1281017, PDF,   
作者: 孔 洁*：济宁医学院临床医学院，山东 济宁；魏明明#, 孟 雪, 李新建：济宁医学院附属医院肾内科，山东 济宁
关键词: 腹膜透析；外周动脉疾病；终末期肾病；Peritoneal Dialysis； Peripheral Arterial Disease； End-Stage Renal Disease
摘要: 目的：通过1例腹膜透析患者合并下肢动脉闭塞的病例，探讨该病例诊治线索以及治疗时机。方法：回顾性分析我院1例腹膜透析患者合并下肢动脉闭塞临床表现、诊治思路、治疗结局，并进行相关文献复习。结果：该例患者因感染、合并症多，最终死亡。结论：因严重肢体缺血接受下肢动脉闭塞干预且同时患有CKD/ESRD的患者发生大截肢和早期死亡的风险增加。
Abstract: Objective: A case of a peritoneal dialysis patient with lower limb arterial occlusion is used to discuss the clues to the diagnosis and management of the case and the timing of treatment. Methods: A ret-rospective analysis of the clinical manifestations, diagnostic ideas and treatment outcomes of a case of combined lower limb arterial occlusion in a peritoneal dialysis patient at our hospital, and a re-view of the relevant literature. Results: Patients due to numerous infections, comorbidities had died eventually. Conclusion: Patients undergoing lower limb arterial occlusion intervention for severe limb ischaemia who also have CKD/ESRD are at increased risk of major amputation and early death.
文章引用：孔洁, 魏明明, 孟雪, 李新建. 长期腹膜透析患者伴下肢动脉硬化闭塞症一例并文献复习[J]. 临床医学进展, 2022, 12(8): 7065-7070. https://doi.org/10.12677/ACM.2022.1281017

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