在急性损伤中腹腔透析的进展
Daniela Ponce1, Welder Zamoner1, Dayana Bitencourt Dias1
1School of Medicine, São Paulo State University (UNESP), Botucatu Campus, São Paulo, Brazil.
概括
腹腔透析 (PD) 是急性损伤 (AKI) 的一个具有成本效益的治疗方法,特别是在资源有限的环境中. 这篇评论探讨了PDPD的情况.
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:
- 历史上,急性腹腔透析 (PD) 对急性损伤 (AKI) 治疗具有重要意义,但由于体外治疗而下降.
- 在重症患者中对PD的熟悉程度有限,导致其使用不足,即使在维持PD患者中也是如此.
- 全球对AKI PD的重新兴趣是由其成本效益和最小的基础设施需求推动的,特别是在低收入和中等收入国家.
研究的目的:
- 审查腹腔透析在治疗急性损伤方面的当前应用,益处和缺点.
- 概述在AKI患者中使用PD的指示和禁忌.
- 为支持AKI治疗PD的进展提供最新的概述.
主要方法:
- 文献综述侧重于腹透析在急性损伤中的使用.
- 讨论PD访问,处方协议和相关并发症.
- 在特定的临床场景中分析PD应用和最近的全球趋势.
主要成果:
- 腹膜透析为AKI管理提供了一个可行的替代方案,特别是当其他治疗方法的资源稀缺时.
- 随着COVID-19的流行,PD在面临资源限制的重症监护机构的实用性得到了突出突出.
- 在PD技术和管理策略的进步正在提高其适用于AKI的适用性.
结论:
- 腹膜透析对AKI患者具有明显的优点和缺点,需要仔细考虑说明和禁忌.
- 持续的进展正在使PD成为全球更容易获得和更有效的AKI治疗选择.
- 进一步的研究和教育对于优化PD在急性损伤管理中的使用至关重要.
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