血液透析导管相关上腔静脉综合征的研究进展  

Update on hemodialysis central venous catheters associated superior vena cava syndrome

作　　者：徐成亮(综述) 万廷信(审校) XU Chengliang;WAN Tingxin(Department of Nephrology,Wuwei People's Hospital,Wuwei 733000,China)

机构地区：[1]武威市人民医院肾内科,武威733000

出　　处：《肾脏病与透析肾移植杂志》2024年第5期480-484,共5页Chinese Journal of Nephrology,Dialysis & Transplantation

基　　金：武威市科技计划项目(WW23B02SF041)。

摘　　要：上腔静脉阻塞是血液透析患者面临的透析通路相关的严重并发症之一,中心静脉插管和透析导管的留置使其发生率增加。上腔静脉阻塞可出现上腔静脉综合征(SVCS),轻者导致血管通路失功,严重者会危及生命。随着透析龄的延长,血液透析导管相关的SVCS越来越受到临床医生的重视。本文就血液透析导管相关SVCS的发病机制、临床评估、诊断及处理的研究新进展作一综述。Superior vena cava obstruction(SVCO)is one of the serious complications faced by hemodialysis patients.Central venous catheterization and dialysis catheter indwelling increase the incidence of SVCO.SVCO can lead to Superior vein cava syndrome(SVCS),which not only jeopardizes the availability of vascular access for hemodialysis,but can become a life-threatening emergency.With the prolonging of dialysis age,more and more clinicians pay attention to central venous catheters associated with SVCS.This article reviews the new progress in the pathogenesis,clinical evaluation,diagnosis and management of hemodialysis catheters associated SVCS.

关 键 词：血液透析 上腔静脉阻塞 上腔静脉综合征 

分 类 号：R692.5[医药卫生—泌尿科学]