Superior Vena Cava Syndrome Secondary to Hemodialysis Catheter

上腔靜脈症候群－洗腎病患中央靜脈導管栓塞的併發症

廖培宏(Pei-Hung Liao) ； 趙文崧(Wen-Sung Chao) ； 吳肇鑫(Chao-Hsin Wu)

《童綜合醫學雜誌》 12卷2期 (2018/12) Pp. 133-135

https://doi.org/10.3966/2071359220181212020011

摘要

Superior vena cava syndrome is a potential complication of thrombosis in hemodialysis catheters. However, the increased use of these intravascular catheters for hemodialysis in patients with uremia has seen the prevalence of this morbidity increase. We report a case of superior vena cava stenosis secondary to central venous catheter implantation in a patient undergoing hemodialysis. Early diagnosis of superior vena cava syndrome in emergency departments is important and can be made on the basis of clinical presentation, past medical history, enhanced chest computed tomography, and antegrade venography.

關鍵字

Superior vena cava syndrome ； Uremia ； Central venous catheter

並列摘要

上腔靜脈症候群是洗腎病人使用中央靜脈導管做透析治療可能的併發症之一，臨床症狀表現快速及嚴重，在急診早期的診斷需倚賴臨床症狀及相關病史的詢問，含顯影劑的電腦斷層或是靜脈血管攝影檢查可做為診斷工具，因此我們提出一個案例為因中央靜脈導管做透析導致栓塞造成的上腔靜脈症候群。

並列關鍵字

上腔靜脈症候群 ； 洗腎 ； 中央靜脈導管栓塞