腹膜透析的皮肤穿透式现场插入导管 - - 一种新方法在国内引入
Vladimir Pushevski1, Igor G Nikolov1, Pance Karagjozov2
11University Clinic of Nephrology, Faculty of Medicine, University "SS Cyril and Methodius", Skopje, RN Macedonia.
概括
通过皮肤插入腹腔透析导管为脏替代疗法提供了最少侵入性的选择. 这种技术避免了全身麻醉,促进了更快的恢复和更早的患者流动性.
科学领域:
- 腎臟病學 (nephrology) 是一種醫學專業.
- 手术手术手术手术手术手术手术手术手术手术
- 脏替代疗法治疗 脏替代疗法
背景情况:
- 腹腔透析 (PD) 是末期病 (ESRD) 患者的关键替代疗法 (RRT).
- 与血液透析 (HD) 相比,PD提供了优势,包括改善福祉,液体平衡和血液动力学稳定性.
- PD特别适合患有血管接入问题,出血倾向,心力衰竭和老年患者.
研究的目的:
- 介绍我国首个皮肤即位插入腹膜透析导管的案例.
- 突出皮穿插作为可行的RRT替代方法,特别是对于应避免全身麻醉的患者.
- 强调穿皮导管安置对传统外科手术方法的好处.
主要方法:
- 一名65岁的男性患者通过皮肤插入了一个道化腹膜透析导管.
- 该程序涉及将导管通过腹壁放置在腹腔空间,特别是盆腔区域.
- 这种方法是为了避免全身麻醉而选择的,这对于这个患者来说是一个关键因素.
主要成果:
- 皮肤穿透插入成功进行.
- 该程序被认为是简单的,不需要全身麻醉.
- 预期的好处包括快速恢复,更早的行走,以及减少启动PD治疗的延迟.
结论:
- 穿皮腹腔透析导管插入是一种安全有效的RRT方式.
- 它提供了显著的优势,特别是对于一般麻醉是禁忌的患者.
- 这种最少的侵入性方法有助于更快的患者恢复和更快的启动透析.
相关概念视频
01:30Peritoneal Dialysis I: Introduction and Procedure
62
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...
62
01:25Peritoneal Dialysis II: Peritoneal Dialysis Systems and Complications
44
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...
44
01:25Hemodialysis I: Introduction
57
Hemodialysis (HD) is a medical treatment that artificially removes waste products, excess fluids, and toxins from the blood when the kidneys are no longer able to perform these functions effectively. In this process, blood is filtered through a semipermeable membrane, allowing for the selective removal of waste while preserving necessary components like blood cells and proteins. Hemodialysis is typically performed in patients with end-stage renal disease (ESRD) or severe kidney...
57
01:25Peritoneal Dialysis III: Nursing Management
50
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...
50
01:24Hemodialysis 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
01:27Parentral Nutrition: Centeral and Peripheral Parental Nutrition
219
Parenteral Nutrition (PN) delivers essential nutrients directly into the bloodstream, bypassing the digestive system. It is commonly used for individuals with severe digestive disorders or conditions that prevent normal nutrient absorption.
PN can be administered through two primary routes:
1. Central Parenteral Nutrition (CPN):
CPN involves delivering a high concentration of nutrients through a large vein. This is typically achieved using a Peripherally Inserted Central Catheter (PICC) or,...
PN can be administered through two primary routes:
1. Central Parenteral Nutrition (CPN):
CPN involves delivering a high concentration of nutrients through a large vein. This is typically achieved using a Peripherally Inserted Central Catheter (PICC) or,...
219