围泄漏导致右侧水胸部在慢性病的病例中经历持续的门诊围透析:尼泊尔的一份病例报告
Kritika Bhattarai1, Ashish Acharya1, Saurav Sarkar2
1Nepal Medical College and Teaching Hospital Kathmandu University Kathmandu Nepal.
Clinical case reports
|November 18, 2024
概括
连续的门诊腹膜透析 (CAPD) 可能会导致透水胸部,这是一个罕见的并发症. 及时停止CAPD并考虑手术干预可以有效地管理这种情况.
科学领域:
- 腎臟病學 (nephrology) 是一種醫學專業.
- 肺部病理学 肺部病理学
- 胃肠病学 胃肠病学
背景情况:
- 持续的门诊腹膜透析 (CAPD) 是对末期脏疾病 (ESRD) 的常见治疗方法.
- 透露性水胸腺是CAPD的一种罕见但严重的并发症.
- 早期识别和管理对于患者的治疗结果至关重要.
研究的目的:
- 为了呈现一个CAPD诱导的过体水胸病例.
- 讨论这种并发症的诊断挑战和管理策略.
主要方法:
- 一个51岁的女性在CAPD上患有CKD的案例报告.
- 诊断工作包括胸部X射线,多发性液体分析和腹腔隔膜扫描.
- 管理包括停止CAPD和手术干预.
主要成果:
- 这位患者出现呼吸障碍,诊断出右侧水胸部.
- 胸腔液分析显示过,并怀疑腹腔液泄漏.
- 腹膜扫描证实了腹膜-腹膜通信.
- 停止CAPD导致水胸部缓解,随后进行手术管理.
结论:
- 由CAPD引起的透性水胸腺是不常见的并发症,需要及时诊断.
- 生物化学和放射学评估是诊断的关键.
- 腹膜扫描证实了腹膜-腹膜通信.
- 管理包括停止CAPD,并考虑手术选择,如视频辅助胸腔镜手术与机械膜切除.
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