腹膜透析:在急性损伤中是一种有效的治疗方式
Vishal Singh1, Satish Chandra Mishra2, Pradeepa Adgoor Mallikarjuna3
1Senior Advisor (Medicine) & Nephrologist, 7 Air Force Hospital, Kanpur Cantt, UP, India.
Medical journal, Armed Forces India
|July 13, 2023
概括
腹腔透析 (PD) 是急性损伤 (AKI) 的有效替代疗法 (RRT),即使在资源有限的环境中也是如此. 这项研究表明,PD实现了足够的透析,并且被AKI患者耐受得很好.
科学领域:
- 腎臟病學 (nephrology) 是一種醫學專業.
- 关键护理医学 关键护理医学
- 脏替代疗法治疗 脏替代疗法
背景情况:
- 腹腔透析 (PD) 是一种用于急性损伤 (AKI) 的未充分利用的替代疗法 (RRT).
- 这项研究介绍了AKI患者PD的临床经验.
研究的目的:
- 在AKI患者中评估PD作为RRT的有效性和安全性.
- 评估透析的充分性,血液动力学稳定性和与AKI中PD相关的并发症.
主要方法:
- 对32名需要RRT的AKI患者的回顾性分析.
- 透析充分性的评估 (超,每周Kt/V),血液动力学稳定性,以及与程序相关的并发症.
- 使用的导管类型:刚性风笔 (28.2%) 和克霍夫 (71.8%).
主要成果:
- 患者的平均年龄为65.3岁,需要血管压力器和呼吸机支持.
- 在平均血清肌素6.24 mg/dL时开始的RRT.
- 实现了充分的透析:平均每日超1701毫升,每周Kt/V2.19 (在幸存者中更高). 血动力学不稳定在31.2%;PD腹膜炎是主要的并发症.
结论:
- 腹膜透析是AKI的可行和有效的RRT方式.
- 在资源贫乏的环境中,PD证明了有效性.
- 在可接受的并发症率下,PD可以安全地用于AKI管理.
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