从间歇性血液透析转换为腹腔透析在转移性导管相关的血流感染中
Mohamedanwar Ghandour1, Ravi K Thimmisetty1, James Sondheimer1
1Division of Nephrology and Hypertension, Department of Internal Medicine, Wayne State University School of Medicine, Detroit, MI, USA.
Case reports in nephrology and dialysis
|October 30, 2023
概括
在末期病患者中,与管相关的血液感染严重血管疾病患者可以通过从间歇性血液透析转换为腹腔透析来有效治疗. 这种方法解决了持续的细菌病并改善了尿路症状.
科学领域:
- 腎臟病學 (nephrology) 是一種醫學.
- 传染性疾病 传染性疾病
- 血管外科 血管外科
背景情况:
- 与导管相关的血流感染 (CRBSI) 是中静脉导管 (CVC) 末期病 (ESRD) 患者的严重并发症.
- 转移性感染往往阻止了导管救援,这给因严重血管病变而导致血管访问受限的患者的脏替代疗法带来了挑战.
- 在患有晚期血管疾病的ESRD患者中,保持现有的血管通道至关重要.
研究的目的:
- 在ESRD患者中成功从间歇性血液透析 (IHD) 转换为腹腔透析 (PD) 的案例,患者患有晚期血管疾病和转移性CRBSI.
- 强调PD作为IHD的可行替代品,用于在具有挑战性的血管病患者中管理持续性细菌病和尿素病.
主要方法:
- 一个ESRD患者的病例报告,该患者患有晚期血管疾病,患有转移性CRBSI并恶化尿血.
- 从IHD成功转换为PD,以最大限度地减少血管内手术和器械存在.
- 监测细菌病的消失和尿液状况的改善.
主要成果:
- 转换为PD导致了持续性细菌病的完全消失.
- 患者体验到他们的尿素状况稳步改善.
- 这种管理策略有效地解决了有限血管选择的患者CRBSI的并发症.
结论:
- 从IHD转换为PD可以是一个成功的策略来管理ESRD患者的转移性并发症的持续性细菌病,特别是那些患有严重血管病变的患者.
- 腹膜透析提供了一个替代方案,以中断感染和尿素的循环,当必须尽量减少血管内手术时.
- 这种方法应考虑在血管病的ESRD患者缺乏PD显著的禁忌.
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