腹膜透析治疗尿毒症肺水肿的评价  

Peritoneal dialysis for treatment of uremia-related pulmonary edema

作　　者：梁玉凤[1] 徐米清[1] 庞伟[1] 

机构地区：[1]广州医学院第二附属医院肾内科,广东广州510260

出　　处：《广州医学院学报》2011年第2期59-61,共3页Academic Journal of Guangzhou Medical College

摘　　要：目的:探讨尿毒症肺水肿患者的临床特征及腹膜透析对其治疗的评价。方法:对本院本科78例尿毒症肺水肿患者的临床表现、影像学改变和临床生化指标进行分析,并采用腹膜透析对其治疗的价值。结果:尿毒症肺水肿患者其原发病以慢性肾炎最为多见,临床表现多样化,轻重不一致,X线表现以肺淤血、间质性肺水肿为最常见,腹膜透析组与非透析治疗组相比较,病死率差异有统计学意义(P<0.01)。结论:腹膜透析是有效治疗尿毒症肺水肿的方法,能明显减轻症状,减少病死率。Objective： To investigate the clinical manifestations of and the role of peritoneal dialysis as a the treatment for patients with this condition. Methods：The clinical manifestations, imaging data and biochemical findings in 78 patients with uremia-related pulmonary edema registered to our department were analyzed. The therapeutic value of peritoneal dialysis in patients was evaluated. Results：Chronic nephritis was the most common etiology to uremia-related pulmonary edema among these patients. The patients showed a variety of clinical manifestations and a wide range of severity. X-ray findings most frequently included pulmonary congestion and interstitial edema. There was a significant difference in mortality between patients treated with and without peritoneal dialysis（ P 〈 0.01 ）. Conclusion：Peritoneal dialysis as a treatment of uremia-related pulmonary edema is effective for remarkable svmotom relief and reduction of mortality.

关 键 词：尿毒症 肺水肿 腹膜透析 

分 类 号：R692[医药卫生—泌尿科学]