ISSN 1006-298X      CN 32-1425/R

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肾脏病与透析肾移植杂志 ›› 2017, Vol. 26 ›› Issue (5): 481-485.DOI: 10.3969/j.issn.1006-298X.2017.05.019

• 论文 • 上一篇    下一篇

腹膜透析导管相关并发症防治进展

  

  • 出版日期:2017-10-28 发布日期:2017-10-27

Prevention and treatment of peritoneal dialysis catheterrelated complications

  • Online:2017-10-28 Published:2017-10-27

摘要:

腹膜透析(PD)导管相关并发症是导致PD治疗失败的主要原因,包括机械并发症(导管移位、透析液渗漏、导管阻塞、腹疝、内脏损伤、出血)和感染相关并发症(出口、隧道感染)。临床医师应熟练掌握导管相关各种并发症的临床表现,早发现、早治疗,并对高危患者采取有效的预防措施,这样将会大大减少各种并发症的发生,有助于提高PD患者的远期预后。本文拟对腹膜透析导管相关并发症的病因、临床表现、治疗和预防进行综述。

Abstract:

Catheterrelated complications are among the main reasons for peritoneal dialysis (PD) failure, including PD catheterrelated mechanical complications (such as migration, leakage, obstruction, hernia, visceral injury and hemorrhage) and infections which contain exitsite infection (ESI) and tunnel infection. Clinicians should be familiar with the clinical manifestations of catheterrelated complications, timely find them and early treat them. In order to decrease the occurrence of catheterrelated complications and improve PD patients longterm outcome, for highrisk patients, taking effective preventive measures would be worked. In this paper, we reviewed the etiology, clinical manifestations, treatment and prevention of PD catheterrelated complications.