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血液透析患者的第一位死因是伴有动脉硬化性病变的心血管合并症,这类病变又是影响其预后的重要因素。本文报告我们经历的血透患者中动脉硬化性病变的检查表现。伴有全身动脉硬化性病变的病例例1,57岁,女性,透析11年。血液透析前即患有高血压,血液透析后高血压仍持续。大约3年前起,出现频发心绞痛。在胸部X 线平片中,可见主动脉显著钙化。CT 上可见在主动脉钙化的同时存在着三尖瓣及冠状动脉钙化。腹部X 线象上也存在主动脉壁的显著钙化。CT 上还同时见有主动脉和胰腺钙化。冠状动脉硬化症例2,49岁,男性。透析5年。血液透析时起即有高血压,约3年前开始经常出现心绞痛。本例的胸、腹部X 线平片上可见主动脉显著钙化。1985年1月,冠状动脉造影时发现冠状动脉起始部钙化,第一钝缘支动脉起始部狭窄达90%。第二斜角支动脉起始
The first leading cause of death in hemodialysis patients is cardiovascular comorbidity associated with arteriosclerotic lesions, which are also important prognostic factors. This article reports the examination of atherosclerotic lesions in hemodialysis patients we underwent. Cases with systemic arteriosclerotic lesions, 1,57 years old, female, dialysis for 11 years. Hypertension precedes hemodialysis and high blood pressure persists after hemodialysis. About 3 years ago, frequent angina appeared. In the chest X-ray, visible aortic calcification. CT can be seen in the aortic calcification with the presence of tricuspid and coronary calcification. Abdominal X-ray images also present significant calcification of the aortic wall. CT also see the aorta and pancreatic calcification. Coronary atherosclerosis cases 2,49 years old, male. Dialysis for 5 years. Hypertension starts at hemodialysis, and angina often starts about 3 years ago. In this case, a significant calcification of the aorta can be seen on the chest and abdomen radiographs. January 1985, coronary angiography coronary calcification found at the beginning, the first blunt margin of the artery stenosis up to 90%. The second bevel artery starts