腹腔透析患者的炎性肝:一个单中心的回顾性病例系列
Regina Shaoying Lim1, Yong Pey See1
1Department of Renal Medicine, Tan Tock Seng Hospital, Singapore, Singapore.
概括
腹腔透析 (PD) 患者的肝是严重的并发症. 管理是具有挑战性的,死亡率高,需要显著的PD导管切除,尽管PD周周炎的缺失是一个好兆头.
科学领域:
- 腎臟病學 (nephrology) 是一種醫學專業.
- 传染性疾病 传染性疾病
- 胃肠病学 胃肠病学
背景情况:
- 腹腔透析 (PD) 提供了替代疗法的替代方案.
- 虽然PD相关的感染已经减少,但严重的并发症如肝仍然存在.
- 关于在PD患者中管理肝的文献有限.
研究的目的:
- 在PD患者中表征肝.
- 描述它们的管理和结果.
- 为了确定生存的预后因素.
主要方法:
- 在坦托克森医院对PD患者的回顾性评估.
- 从2016年1月到2021年6月收集的数据.
- 对患者人口统计,症状,治疗和结果的分析.
主要成果:
- 11/383 (2.9%) 的PD患者出现了肝.
- 常见的症状包括发烧,细菌病和PD周周炎.
- 大多数患者接受了抗生素和的吸收; 72.7%的PD导管被切除.
- 死亡率很高 (27.3%在6个月内).
结论:
- 肝脏在PD患者中与糟糕的结果有关.
- 缺少PD腹膜炎可能是一个积极的预后因素.
- 为了找到最佳的管理策略,还需要进一步的研究.
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