紧急腹膜透析74例临床分析  

Clinical Analysis of 74 Cases of Emergency Peritonea Dialysis

作　　者：戴宏[1] 方惠玲[1] 

机构地区：[1]安徽医科大学附属医院肾脏科,合肥230022

出　　处：《中国民康医学》1997年第6期323-325,385,共4页Medical Journal of Chinese People’s Health

摘　　要：分析７４例紧急腹膜透析原因、并发症、预后及透析时机选择。结果：因肾功能衰竭而紧急腹透者仅占２３．０％，而水负荷过重、肺水肿、高血钾、严重代谢性酸碱平衡紊乱占６６．２％。经皮穿刺置管的手术并发症显著高于手术置管组（ Ｐ均＜０． ０１）．痊愈 ２０例均为急性肾功能不全、药物或毒物中毒及坏死性胰腺炎。死亡率３１．１％，主要死亡原因系原发疾病的不可逆性并发症。因此，对于有指征的患者，应尽可能早地进行透析，严防严重并发症的发生。74 cases of emergency peritoneal dialysis were analysed on its cause, complications, pregnosis and its time. The results showed that the cause of renal failure only occupied 23.0% ,and those of too heavy water load, pneumonedema, hyperkalemia and se- vere metabolic acid - base imbalance occupied 66. 2%. The complications of percutaneous puncture tube placement were obviously higher than those of surgical tube placement. Twenty cases who were cured were renal insufficiency,drug or poison intox-ication and necrotic pancreatitis ,the death rate was 31.1%. It suggests to give peritoneal dialysis for those who have indication as soon as possible.

关 键 词：紧急腹膜透析 并发症 预后 

分 类 号：R459.5[医药卫生—治疗学]