在肥胖患者患上腹管导管破裂,使用腹壁 anchor技术
Haruka Fukuda1,2, Mineaki Kitamura3,4, Takuma Ishii1,2
1Department of Nephrology, Nagasaki University Graduate School of Biomedical Sciences, 1-7-1 Sakamoto, Nagasaki, 852-8501, Japan.
CEN case reports
|January 27, 2026
概括
腹腔内导管破裂是腹腔内透析疏通失效的罕见原因. 肥胖和自身主导性多囊性病 (ADPKD) 会增加这种并发症的风险.
科学领域:
- 腎臟病學 (nephrology) 是一種醫學專業.
- 医疗器械 医疗器械
背景情况:
- 腹腔透析 (PD) 排水故障通常是由导管迁移或阻塞等机械问题引起的.
- 腹腔内导管破裂是PD患者中异常罕见的并发症.
研究的目的:
- 报告一种罕见的腹膜内导管破裂病例,发生在患有自身主导多囊性病 (ADPKD) 的患者身上.
- 讨论潜在的促成因素和对PD管理的影响.
主要方法:
- 一个48岁的男性PD患者的病例报告,患有ADPKD.
- 分析已解开的导管以确定破裂的原因.
- 审查患者的病史,包括肥胖 (BMI 40.74 公斤/米2).
主要成果:
- 患者经历了腹腔内导管破裂,这是PD衰竭的罕见原因.
- 破裂的确切原因仍然未确定,尽管进行了彻底的导管分析.
- 慢性机械压力,可能由肥胖和腹壁 anchor技术恶化,是涉及的.
结论:
- 患有肥胖和ADPKD的患者患PD导管破裂的风险增加.
- 在PD排水不良的差异诊断中,应考虑腹腔内导管破裂,特别是在高风险患者中.
相关概念视频
Peritoneal Dialysis II: Peritoneal Dialysis Systems and Complications
684
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...
684
Peritoneal Dialysis I: Introduction and Procedure
2.9K
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...
2.9K
Drug Dosing: Obese Patients
242
In the United States, obesity is a prominent concern. It is linked to heightened mortality rates due to increased occurrences of conditions such as hypertension, atherosclerosis, coronary artery disease, and diabetes compared to nonobese individuals. A patient is classified as obese if their actual body weight surpasses the ideal or desirable body weight by 20%, based on Metropolitan Life Insurance Company data. Ideal body weights consider average weights and heights for males and females...
242
Peritoneal Dialysis III: Nursing Management
771
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...
771
Extracorporeal Removal of Drugs: Peritoneal Dialysis and Hemodialysis
482
Patients with end-stage renal disease (ESRD) or those experiencing drug overdose often require extracorporeal methods to eliminate accumulated drugs and metabolites. Hemoperfusion, hemofiltration, and dialysis are the primary techniques to rapidly remove harmful substances without disrupting the patient's fluid and electrolyte balance. For those with compromised renal function, dosage adjustments of concurrent medications may be necessary during extracorporeal drug removal.Dialysis is a process...
482
The Anchoring-and-Adjustment Heuristic
7.8K
In order to make good decisions, we use our knowledge and our reasoning. Often, this knowledge and reasoning is sound and solid. However, sometimes, we are swayed by biases or by others manipulating a situation. For example, let’s say you and three friends wanted to rent a house and had a combined target budget of $1,600. The realtor shows you only very run-down houses for $1,600 and then shows you a very nice house for $2,000. Might you ask each person to pay more in rent to get the...
7.8K


