一个罕见的腹膜炎病例,发生在一个接受CAPD治疗9年的患者身上
Arjun Parthasarathy1, Milly Mathew2, Divya Sundar2
1Department of Family Medicine, MGM Healthcare, Chennai, Tamil Nadu, India.
Indian journal of nephrology
|May 12, 2025
概括
一名患有糖尿病病的患者在腹透析中发展出耐药腹炎. 并发症包括中腔动脉血栓症,后来,阻塞性黄,突出显示透析患者的复杂护理需求.
科学领域:
- 腎臟病學 (nephrology) 是一種醫學專業.
- 胃肠病学 胃肠病学
- 传染性疾病 传染性疾病
背景情况:
- 一名患有糖尿病病 (DKD) 和末期病 (ESRD) 的患者连续接受门诊腹膜透析 (CAPD) 治疗9年.
- DKD和ESRD是感染并发症和血管事件的重要危险因素.
研究的目的:
- 在长期的CAPD患者中报告复杂的多药耐药腹膜炎病例.
- 突出诊断的挑战和相关的血管和瘤并发症的管理.
主要方法:
- 临床病例的介绍.
- 对病史和诊断成像 (对比度增强CT) 的审查.
- 遵守国际腹腔透析协会 (ISPD) 关于抗生素治疗的指导方针.
主要成果:
- 由多抗药性大肠杆菌引起的腹膜炎在标准治疗中没有消失.
- 与对比度增强的CT显示了上半导体动脉血栓症和肠道缺血.
- 患者后来患上了阻塞性黄,这是由于在血液透析期间,Vater的囊生长了.
结论:
- 这一案例强调了长期腹腔透析的患者可能出现严重并发症,包括血管血栓和恶性瘤.
- 多学科管理对于解决ESRD患者复杂的并发症和治疗后果至关重要.
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