血液透析患者上腔静脉支架移位引起急性心脏压塞一例  

Acute pericardial tamponade following superior vena cava stent migration in a dialysis patient:A case report

作　　者：郑波 岳洪华 张泰隆 梁伟涛 武忠[1] ZHENG Bo;YUE Honghua;ZHANG Tailong;LIANG Weitao;WU Zhong(Department of Cardiowascular Surgery,West China Hospital,Sichuan Unversiy,Chengdu,610041,P.R China)

机构地区：[1]四川大学华西医院心脏大血管外科,成都610041

出　　处：《中国胸心血管外科临床杂志》2021年第10期1258-1260,共3页Chinese Journal of Clinical Thoracic and Cardiovascular Surgery

摘　　要：中心静脉狭窄是血液透析患者长期置入透析导管后的常见并发症之一,通常可以采取经皮血管成形术治疗并在必要时植入静脉支架。而静脉支架的移位尤其是移位进入右心房的情况则较为罕见。本文报道了1例50岁女性患者在接受上腔静脉支架植入后因支架移位进入右心房造成心脏压塞而紧急开胸探查的病例。Central venous stenosis is a common complication following long-term dialysis catheter placement in dialysis patients. Generally, percutaneous angioplasty is the treatment of choice, and venous stent implantation should be considered in different situations. However, the venous stent migrating into right atrium is a rare but fatal complication.We presented a patient whose superior vena cava stents migrated into right atrium, resulting in acute tamponade, and exploratory thoracotomy was proceeded.

关 键 词：静脉支架移位 血液透析 急性心脏压塞 中心静脉狭窄 病例报告 

分 类 号：R692.5[医药卫生—泌尿科学]