在儿科腹腔透析中,导管放置后,在出口部位周围出现早期透析液泄漏的危险因素:单中心经验
Taishi Nada1,2, Koichi Kamei3, Mai Sato1
1Division of Nephrology and Rheumatology, National Center for Child Health and Development, 2-10-1 Okura, Setagaya-ku, Tokyo, 157-8535, Japan.
Clinical and experimental nephrology
|June 8, 2023
概括
腹膜透析 (PD) 导管的更长的入口时间,理想情况下是14天,可以防止儿童的透析液泄漏. 低体重和单式导管是儿科PD患者泄漏的重要危险因素.
科学领域:
- 儿科脏病学 儿科脏病学
- 透析技术 透析技术
背景情况:
- 透析液泄漏是腹膜透析 (PD) 的重要并发症,往往导致治疗中止.
- 有限的数据存在于风险因素和最佳的入口时间,以防止儿科PD患者的泄漏.
研究的目的:
- 在小儿科患者安装Tenkhoff导管后,确定早期透析液泄漏的危险因素.
- 确定儿童PD导管的适当入场时间,以尽量减少泄漏.
主要方法:
- 对接受克霍夫导管安置的儿科患者 (20岁以下) 的回顾性研究.
- 在注射导管插入30天内出现和没有泄漏的患者之间的临床因素的比较.
主要成果:
- 透析液泄漏发生在7.8%的PD导管中 (8/102).
- 所有泄漏都发生在不到14天的突破期内.
- 风险因素包括体重低,单式导管,入病周期≤7天,每日PD治疗时间长.
结论:
- 建议休息超过7天,最好是14天,以防止儿科PD的泄漏.
- 低体重的婴儿面临高风险,并且由于导管插入困难和潜在的并发症,防止泄漏是具有挑战性的.
相关概念视频
Peritoneal Dialysis II: Peritoneal Dialysis Systems and Complications
46
Peritoneal dialysis (PD) is a medical process that removes waste products and excess fluid from the body using the peritoneal membrane as a natural filter.Peritoneal Dialysis MethodsSeveral methods can be used for peritoneal dialysis, including Acute Intermittent Peritoneal Dialysis, Continuous Ambulatory Peritoneal Dialysis, and Automated Peritoneal Dialysis, also known as Continuous Cyclic Peritoneal Dialysis.Acute Intermittent Peritoneal Dialysis (AIPD) is used for patients with uremic...
46
Peritoneal Dialysis I: Introduction and Procedure
66
Peritoneal dialysis (PD) is a procedure that facilitates the exchange of solutes, waste products, electrolytes, and excess fluid between the blood in the peritoneal capillaries and a dialysis solution introduced into the peritoneal cavity.Principles of Peritoneal Dialysis (PD)Diffusion: Waste products such as urea and electrolytes move from high concentrations in the blood to low concentrations in the dialysate across the peritoneal membrane. This mechanism is driven by the concentration...
66
Peritoneal Dialysis III: Nursing Management
55
Peritoneal dialysis, or PD, utilizes the peritoneal membrane as a filter to eliminate excess fluid and waste products. Effective nursing management is essential for ensuring patient safety, preventing complications, and promoting optimal function of the peritoneal dialysis process.Assessment and MonitoringNurses must thoroughly assess the patient before, during, and after each dialysis session. Regular monitoring includes vital signs, daily weight, fluid intake and output, and laboratory values...
55
Hemodialysis II: Procedure and Complications
42
DialyzersA hemodialysis (HD) dialyzer is a plastic cartridge containing thousands of parallel hollow fibers, which serve as semipermeable membranes. These fibers are typically made from cellulose-based or other synthetic materials. During HD, blood is pumped into the top of the cartridge and distributed among these fibers. Simultaneously, dialysis fluid, known as dialysate, is introduced into the bottom of the cartridge, bathing the outside of the fibers. Across the semipermeable membrane,...
42
Hemodialysis III: Nursing Management
50
The nursing management of a patient undergoing hemodialysis includes several critical steps, starting with a thorough assessment before the procedure.Before the Hemodialysis ProcedureFirst, record the patient's vital signs—blood pressure, heart rate, respiratory rate, and temperature—to establish a baseline. This baseline is essential for detecting conditions such as hypotension that could impact the patient's response to dialysis. Document the patient's pre-dialysis weight, as this...
50
Cardiac Catheterization I: Pre-Procedure Overview
77
Cardiac catheterization is an invasive diagnostic technique used to identify and evaluate structural and functional diseases of the heart and major blood vessels. This technique diagnoses congenital heart disease, coronary artery disease, valvular heart disease, and coronary spasms and assesses ventricular function. It helps guide treatment decisions, including the need for revascularization procedures like percutaneous coronary intervention (PCI) or coronary artery bypass grafting (CABG) and...
77


