胸水作为腹腔透析的并发症:一个案例报告
Luca Piscitani1,2, Paolo Sipari1, Vittorio Di Michele2
1Nephrology and Dialysis Unit, Department of Medicine, San Salvatore Hospital, Via Lorenzo Natali n°1, L'Aquila 67100, Italy.
Case reports in nephrology
|December 9, 2025
概括
腹腔透析的并发症 - - 水胸,发生在液体流向胸腔时. 治疗包括暂时停止透析,在处方调整后可能重新开始透析.
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
- 医疗并发症 医疗并发症
背景情况:
- 水胸是周周透析 (PD) 的已知并发症.
- 它是由透过隔膜缺陷的透析物迁移引起的.
- 这种迁移导致胸腔内液体积聚.
研究的目的:
- 在腹腔透析期间报告一个水胸病例.
- 讨论管理这种并发症的最新协议.
- 在PD患者中分享使用水胸的临床经验.
主要方法:
- 水胸的临床诊断.
- 支持性诊断工具包括腹膜CT扫描.
- 胸腔液分析有助于诊断.
主要成果:
- 该案例突出了PD相关的水胸病的诊断挑战和管理策略.
- 成功管理通常需要暂时停止PD.
- 通过修改处方,可能恢复PD.
结论:
- 胸水是腹腔透析的一个严重但可控的并发症.
- 及时诊断和适当的管理是至关重要的.
- 遵守最新的协议可以确保最佳的患者治疗结果.
相关概念视频
Peritoneal Dialysis II: Peritoneal Dialysis Systems and Complications
486
Peritoneal dialysis (PD) is a medical process that removes waste products and excess fluid from the body using the peritoneal membrane as a natural filter.Peritoneal Dialysis MethodsSeveral methods can be used for peritoneal dialysis, including Acute Intermittent Peritoneal Dialysis, Continuous Ambulatory Peritoneal Dialysis, and Automated Peritoneal Dialysis, also known as Continuous Cyclic Peritoneal Dialysis.Acute Intermittent Peritoneal Dialysis (AIPD) is used for patients with uremic...
486
Hemodialysis II: Procedure and Complications
573
DialyzersA hemodialysis (HD) dialyzer is a plastic cartridge containing thousands of parallel hollow fibers, which serve as semipermeable membranes. These fibers are typically made from cellulose-based or other synthetic materials. During HD, blood is pumped into the top of the cartridge and distributed among these fibers. Simultaneously, dialysis fluid, known as dialysate, is introduced into the bottom of the cartridge, bathing the outside of the fibers. Across the semipermeable membrane,...
573
Peritoneal Dialysis III: Nursing Management
606
Peritoneal dialysis, or PD, utilizes the peritoneal membrane as a filter to eliminate excess fluid and waste products. Effective nursing management is essential for ensuring patient safety, preventing complications, and promoting optimal function of the peritoneal dialysis process.Assessment and MonitoringNurses must thoroughly assess the patient before, during, and after each dialysis session. Regular monitoring includes vital signs, daily weight, fluid intake and output, and laboratory values...
606
Peritoneal Dialysis I: Introduction and Procedure
2.1K
Peritoneal dialysis (PD) is a procedure that facilitates the exchange of solutes, waste products, electrolytes, and excess fluid between the blood in the peritoneal capillaries and a dialysis solution introduced into the peritoneal cavity.Principles of Peritoneal Dialysis (PD)Diffusion: Waste products such as urea and electrolytes move from high concentrations in the blood to low concentrations in the dialysate across the peritoneal membrane. This mechanism is driven by the concentration...
2.1K
Pneumothorax-I
1.1K
A pneumothorax is a condition where air builds up in the space between the lung and the chest wall, causing the lung to collapse. This condition arises when air enters the space between the parietal and visceral pleura, disrupting the negative pressure essential for lung inflation. This can lead to a partial or complete collapse of the lung.
Pneumothorax can be even further classified as spontaneous, traumatic, and tension pneumothorax.
Pneumothorax can be even further classified as spontaneous, traumatic, and tension pneumothorax.
1.1K
Hemodialysis III: Nursing Management
694
The nursing management of a patient undergoing hemodialysis includes several critical steps, starting with a thorough assessment before the procedure.Before the Hemodialysis ProcedureFirst, record the patient's vital signs—blood pressure, heart rate, respiratory rate, and temperature—to establish a baseline. This baseline is essential for detecting conditions such as hypotension that could impact the patient's response to dialysis. Document the patient's pre-dialysis weight, as this...
694


