{"title":"糖尿病尿毒症患者血管广泛钙化","authors":"Shang-Feng Tsai MD, Kuo-Hsiung Shu MD","doi":"10.1002/dat.20608","DOIUrl":null,"url":null,"abstract":"biopsy was performed for diagnosis. Many other diagnostic tools are available, such as plain X-ray, computed tomography (CT), and the aortic calcification index. Here we present a 72-yearold man with uremia who had been undergoing hemodialysis for 20 years; he was admitted owing to fever and poor wound healing. The role of skin biopsy is debated, due to poor wound healing and potential sepsis, and we","PeriodicalId":51012,"journal":{"name":"Dialysis & Transplantation","volume":"40 10","pages":"E1"},"PeriodicalIF":0.0000,"publicationDate":"2011-10-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1002/dat.20608","citationCount":"0","resultStr":"{\"title\":\"Extensive vascular calcification in diabetic uremic patient\",\"authors\":\"Shang-Feng Tsai MD, Kuo-Hsiung Shu MD\",\"doi\":\"10.1002/dat.20608\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"biopsy was performed for diagnosis. Many other diagnostic tools are available, such as plain X-ray, computed tomography (CT), and the aortic calcification index. Here we present a 72-yearold man with uremia who had been undergoing hemodialysis for 20 years; he was admitted owing to fever and poor wound healing. The role of skin biopsy is debated, due to poor wound healing and potential sepsis, and we\",\"PeriodicalId\":51012,\"journal\":{\"name\":\"Dialysis & Transplantation\",\"volume\":\"40 10\",\"pages\":\"E1\"},\"PeriodicalIF\":0.0000,\"publicationDate\":\"2011-10-17\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"https://sci-hub-pdf.com/10.1002/dat.20608\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Dialysis & Transplantation\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://onlinelibrary.wiley.com/doi/10.1002/dat.20608\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"\",\"JCRName\":\"\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Dialysis & Transplantation","FirstCategoryId":"1085","ListUrlMain":"https://onlinelibrary.wiley.com/doi/10.1002/dat.20608","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"","JCRName":"","Score":null,"Total":0}
引用次数: 0
摘要
Oliver Kirschberg等人最近报道了尿毒症中的尿毒症钙化动脉病变。许多其他的诊断工具是可用的，如普通x线，计算机断层扫描(CT)和主动脉钙化指数。在这里，我们报告一位72岁的尿毒症患者，他接受了20年的血液透析;他因发烧和伤口愈合不良而入院。由于伤口愈合不良和潜在的败血症，皮肤活检的作用存在争议，我们在没有皮肤活检的情况下通过x线平片诊断了典型的钙化反应。他的冠状动脉Agatston钙评分只有117.9。实验室数据如下:总钙9.1 mg/dL，磷酸盐8 mg/dL，完整甲状旁腺激素(PTH) 400 pg/mL。x线片有助于区分内膜钙化和内侧钙化动脉粥样硬化前者呈斑块状，后者呈周状。胸部和手部放射检查显示桡动脉(图1-3，黑色箭头)、尺动脉(白色箭头)、掌指动脉(黑色箭头)和掌深弓(白色箭头)广泛钙化。在目前的文献中，很难找到这样“生动”的小器皿在手中的描述。颈椎x线片示双侧颈总动脉钙化呈圆周型。我们建议首先进行x光诊断，因为它的低成本和高可用性。
Extensive vascular calcification in diabetic uremic patient
biopsy was performed for diagnosis. Many other diagnostic tools are available, such as plain X-ray, computed tomography (CT), and the aortic calcification index. Here we present a 72-yearold man with uremia who had been undergoing hemodialysis for 20 years; he was admitted owing to fever and poor wound healing. The role of skin biopsy is debated, due to poor wound healing and potential sepsis, and we
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