말기신부전으로 혈액투석 중인 환자에서 발생낳 자발성 종격동출혈 1예

• Published in: Kidney research and clinical practice Vol. 16; no. 1; pp. 173 - 177
• Main Authors: 박정영, 이희영, 강효승, 김우석, 이종영, 이명래, 변동일, 김형길
• Format: Journal Article
• Language: Korean
• Published: 대한신장학회 30.03.1997
• ISSN: 2211-9132

Spontaneous hemorrhage in the patients under- going hemodialysis is the ralatively common problem, but spontaneous mediastinal hemorrhage in such patients reported only few cases. We experienced a case of spontaneous mediastinal hemorrhage in chronic hemodialysis patient who complained of continuous pleuritic chest pain and mild dyspnea. The diagnosis was made dy chest computed tomography,magnetic resonance imaging and percutaneous fine needle aspiration of liquified dark reddish old blood material guided by ultra- sonography. Treatment is usually conservative, with blood volume replacement and intensive hemodialysis using regional heparinization. We report on a patient undergoing hemodialysis due to endstage renal disease who developed spontaneous mediastinal hemorrhage.