血液透析病患併周邊動脈阻塞性疾病：病例報告與文獻回顧

Peripheral Arterial Occlusive Disease in Hemodialysis Patients: Case Report and Literature Review

本文的目的在說明週邊動脈阻塞性疾病的重要性。報告中是探討的三位血液透析病患，初期只是單純的腳痛及潰瘍，經過詳細的檢查及治療後，最後發現為週邊動脈阻塞性疾病。週邊動脈阻塞性疾病是造成末期腎病變的病人，在下肢沒有外傷，卻必須做截肢的重要原因之一，同時也會增加末期腎病變病人的致病率與死亡率。不過，值得注意的是週邊動脈阻塞性疾病在一般人以及血液透析族群中容易被忽略，故建議醫護應善用臨床6P症狀來評估一般人以及血液透析病患是否有週邊動脈阻塞性疾病。其預後通常非常差，本文將以文獻回顧的方法，配合臨床實例來討論週邊動脈阻塞性疾病的預防措施，及臨床診斷及治療方法。以作為透析及相關領域醫護同仁之照護參攷。

Peripheral arterial occlusive disease (PAOD) is a rare but poor prognostic complication in hemodialysis (HD) patients. PAOD is usually overlooked in the general population and in dialysis patients. Therefore, victims of PAOD are often referred or diagnosed for definite management late. In order to remind medical colleagues the importance of PAOD for case report, this study focuses on HD patients who developed POAD. Initially, these patients presented painful ulcerations in the lower extremities. However after detailed evaluation, we established the final diagnosis of PAOD in each patient. Literature reviews on diagnosis procedures and management of PAOD were also performed. This work may provide valuable information on managing PAOD for medical reactionary in the field of dialysis as well as in primary case.