腹膜透析在急性肾损伤中的应用  

Application of peritoneal dialysis in acute kidney injury

作　　者：陈雅[1] 倪兆慧[1] 

机构地区：[1]上海交通大学医学院附属仁济医院肾脏科,上海200127

出　　处：《实用医院临床杂志》2012年第2期27-30,共4页Practical Journal of Clinical Medicine

基　　金：973课题资助项目(编号:2012CB517602);国家自然基金资助项目(编号:81070548;81102700);教育部留学回国人员科研启动基金资助项目(编号:教外司留【2010】1174号);上海市科委中医药现代化专项资金资助项目(编号:09dZ1973600);上海市科委基础重点项目资金资助(编号:10JC1410100);上海市卫生局科研基金资助项目(编号:2010L063A)

摘　　要：急性肾损伤(acute kidney injury,AKI)发生率高。其肾脏替代治疗方式有血液透析(hemodialysis,HD)、连续肾脏替代治疗(continuous renal replacement therapy,CRRT)以及腹膜透析(PD),但PD在AKI中的作用常被忽略。与HD相比,PD更方便、经济、无需抗凝,尤其对血液动力学不稳定患者具有一定优势。近年一些研究显示PD治疗AKI存在潜力。本文将探讨PD在AKI应用的利弊,透析时机、剂量、模式的选择和透析处方的建立及在AKI中的应用。Acute kidney injury（AKI） has a high incidence.The renal replacement therapy consists of hemodialysis,continuous renal replacement therapy and peritoneal dialysis which has often been overlooked in the past decades.Compared with hemodialysis,peritoneal dialysis is more convenient,cost-effective,and free of anticoagulation,which has special advantages for patients with hemodynamic instability.Recent researches indicate that peritoneal dialysis is a pertential therapy of AKI.The following article discusses the advantages and disadvantages of the application of peritoneal dialysis in AKI,the choice of timing,dosage and mode,and the prescription of peritoneal dialysis in AKI.

关 键 词：腹膜透析 急性肾损伤 适应证 禁忌证 剂量 

分 类 号：R459.51[医药卫生—治疗学] R692[医药卫生—临床医学]