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患者男,51岁。发现高血压7年余,5年前肾穿刺活检诊断为重度缺血性肾损伤,后患者多次复查,均有蛋白尿、血肌酐逐渐升高。2年前诊断为慢性肾功能衰竭尿毒症期、肾性贫血、原发性高血压3级(极高危)、高血压肾损伤、高尿酸血症、高脂血症,并在我院行动静脉内瘘形成术,后进行规律血液透析治疗。患者于2017年血液透析时头静脉内血流量明显减低,血液透析失败,随进行上肢静脉超声检查。超声所见:左侧腕部桡动脉与头静脉相连,瘘口
Patient male, 51 years old. More than 7 years of hypertension was found, 5 years ago, renal biopsy was diagnosed as severe ischemic renal injury, multiple patient after review, both proteinuria, serum creatinine increased gradually. 2 years ago diagnosed as chronic renal failure uremia, renal anemia, essential hypertension grade 3 (very high risk), hypertensive renal injury, hyperuricemia, hyperlipidemia, and in our hospital arterial Fistula formation, followed by regular hemodialysis treatment. Hemodialysis in patients with hemodialysis in early head blood flow was significantly reduced, hemodialysis failure, with the upper extremity venous ultrasound. Ultrasound findings: the left wrist radial artery connected with the cephalic vein, fistula