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RENAL REPLACEMENT THERAPY IN A POLYTRAUMATIZED PATIENT WITH HEMOPHILIA

SANJA SAKAN ; Klinički bolnički centar Zagreb, Klinika za anesteziologiju i intenzivno liječenje, Zagreb, Hrvatska
DANIELA BANDIć ; Klinički bolnički centar Zagreb, Klinika za anesteziologiju i intenzivno liječenje, Zagreb, Hrvatska
MLADEN PERIć ; Klinički bolnički centar Zagreb, Klinika za anesteziologiju i intenzivno liječenje, Zagreb, Hrvatska
PETAR KES ; Klinički bolnički centar Zagreb, Zavod za nefrologiju, arterijsku hipertenziju, dijalizu i transplantaciju, Zagreb, Hrvatska
NIKOLINA BAŠIć-JUKIć ; Klinički bolnički centar Zagreb, Zavod za nefrologiju, arterijsku hipertenziju, dijalizu i transplantaciju, Zagreb, Hrvatska

Sažetak

Renal failure is a rare complication of hereditary coagulopathies. However, when it occurs, it rapidly progresses to a stage that requires replacement of renal function. Major problems include the choice of dialysis method, prevention of complications and supplementation of deicient factor. In hemodialysis, it is challenging to prevent system clotting and avoid bleeding. We present a case of polytraumatized male patient with hemophilia A, who developed compartment syndrome with acute renal failure. Continuous venovenous hemodialysis (CVVHD) improved his condition and he recovered his kidney function. However, over the next few days he developed severe sepsis with deterioration of renal function. CVVHDF (hemodiailtration) was restarted. Several large hematomas were found in the abdominal cavity and in the inguinal region, one of them inducing compartment syndrome with leg necrosis. The patient died from cardiorespiratory arrest.

Ključne riječi

hemophilia A; acute renal failure; continuous venovenous hemodialysis; vascular access

Hrčak ID:

97594

URI

https://hrcak.srce.hr/97594

Datum izdavanja:

14.2.2013.

Podaci na drugim jezicima: hrvatski

Posjeta: 2.038 *