由于切割性漏陷导致的PD导管故障
Jean Bertrand1, Inès Dufour1, Assma Ballout2
1Department of Nephrology, Cliniques Universitaires Saint-Luc, Université Catholique de Louvain, Brussels, Belgium.
概括
腹膜透析导管功能障碍发生在患有末期脏疾病的患者中,由于陷入的原因. 建议在透析导管放置之前对接受血管或腹部手术的患者进行腹壁的早期查.
科学领域:
- 腎臟病學 (nephrology) 是一種醫學專業.
- 胃肠病学 胃肠病学
- 手术创新 在外科创新.
背景情况:
- 一名69岁的男性患有末期脏疾病,经历了早期腹膜透析导管功能障碍.
- 患者呈现缓慢和不完整的废水排水 14周后拉巴罗镜导管插入.
研究的目的:
- 为了调查腹膜透析导管功能障碍的罕见原因.
- 强调腹壁的透析前评估的重要性.
主要方法:
- 临床检查和腹部成像 (X射线,CT扫描) 在切口囊内确定了导管缺陷位置.
- 腹腔镜检查证实了粘附和导管捕获,随后进行了粘附溶解和导管重新定位.
- 同时进行双边 Hernia 修复.
主要成果:
- 导管尖被发现被困在含小肠的右切口囊中.
- 在重新定位后,外科手术前的测试证实了绝佳的导管功能.
- 患者康复良好,并在3周后恢复腹腔透析.
结论:
- 切口陷是一种罕见但重要的腹膜透析导管功能障碍的原因.
- 在腹腔透析导管插入之前,对先前经历腹部/血管手术的患者进行腹壁的系统查至关重要.
- 导管重量可能有助于迁移到先前存在的.
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