在腹腔透析患者的结肠静脉形成
Nada Bashnini1,2, Arsh K Jain1
1Division of Nephrology, London Health Sciences Centre, Schulich School of Medicine & Dentistry, Western University, London, Ontario, Canada.
概括
本案例报告详细介绍了一名患有1型糖尿病和功能衰竭的患者的管理情况,该患者接受了结肠直肠切除术. 腹腔透析 (PD) 在结肠切除术后成功继续,改善了患者的独立性和生活质量.
科学领域:
- 腎臟病學 (nephrology) 是一種醫學.
- 胃肠病学 胃肠病学
- 糖尿病学 糖尿病学
背景情况:
- 一名46岁的男性患有1型糖尿病 (T2DM),5期慢性病 (CKD) 和严重的神经病并发症,需要双侧腿截肢,并出现持续性腹.
- 糖尿病神经病变显著影响了日常功能,尽管从血液透析过渡到腹腔透析 (PD),但仍然存在.
研究的目的:
- 报告患有T2DM,CKD和神经病变并发症的患者的复杂管理.
- 为了证明在患有肠胃口腔瘤的患者中,在结肠口腔创建后继续PD的可行性和益处.
主要方法:
- 一名患有末期病 (ESRD) 和因糖尿病神经病变而导致的难治性腹的患者接受了结肠直肠手术.
- 腹腔透析 (PD) 在结肠切除术后成功地继续进行,并仔细管理导管出口部位.
主要成果:
- 结肠直肠术改善了腹控制,增强了患者的自我护理和独立性,尽管并没有完全解决症状.
- 结肠静脉透析 (PD) 在结肠静脉创建后安全地继续,在随访期间没有报告重大并发症.
- 患者经历了显著的改善后的生命质量colostomy.
结论:
- 这一案例凸显了肠道口腔,传统上是一种相对的禁忌,不排除PD如果适当管理.
- 术后PD的成功延续证明了个性化治疗和复杂患者的跨学科护理的重要性.
- 这一案例为患有肠直肠口腔瘤的患者的PD管理提供了宝贵的见解,这一领域的现有文献有限.
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