血液透析シャント術後，急性末梢循環不全を呈し，リポPGE1と交感神経ブロックにより著効を示した一症例

Abstract

A rare case of peripheal vascular disorder is reported, A 30-year old man, who had undergone on A-V shunt operation for hemodialysis in May 1983 and was reoperated in January 1989, developed left hand swelling and dull ache in February 1989, and several ulcers on the left hand in April 1989. He was referred to our hospital for further examination and treatment in October 1989. He was given a one-month course of 5 μg of lipo-PGE1 and was medicated 40 times of SGB, and there was a striking clinical improvement. He left our hospital in February 1990. PGE1 is a potent vasodialator an wll as an inhibitor of platelet aggregation. Because of these properties, PGE1 has been used clinically for the treatment of several vascular disorders such as Raynaud's and Buerger's disease. But there are not any reports in Japan that PGE1 has been used for the treatment of vascular disorders caused by A-V shunt operation for hemodialysis.