自动化腹膜透析的新应用  

New applications of automated peritoneal dialysis

作　　者：倪兆慧[1] 金海姣 

机构地区：[1]上海交通大学医学院附属仁济医院肾脏科,200127

出　　处：《中华肾病研究电子杂志》2015年第1期10-13,共4页Chinese Journal of Kidney Disease Investigation（Electronic Edition）

基　　金：国家自然科学基金(81370794);国家科技支撑计划课题(2011BAI10B08)

摘　　要：自动化腹膜透析(APD)具有血流动力学稳定、无需抗凝、容量控制和溶质清除能力强、操作简便、安全易行、显著改善患者生活质量等优势,尤其适用于高转运或高平均转运、持续非卧床腹膜透析(CAPD)时溶质清除不充分、CAPD反复腹膜炎的患者。APD可作为紧急透析方式,适用于急性肾损伤(AKI)、终末期肾病(ESRD)的紧急透析、腹膜透析患者腹壁疝术后过渡期、难治性充血性心力衰竭、中毒、急性胰腺炎、高热或低体温、肝功能衰竭、液体及药物输入等。此外,APD是ESRD儿童理想的肾脏替代治疗方式。Automated peritoneal dialysis （APD）, with advantages including hemodynamic stability, no need for anticoagulation, strong volume control and solute removal ability, simple operation, safe and easy, and significantly improving quality of life, is especially suitable for patients with high or high- average peritoneal transport, insufficient clearance of solutes in continuous ambulatory peritoneal dialysis （ CAPD）, or recurrent peritonitis in CAPD. Moreover, APD can serve as an emergent dialysis mode suitable for acute kidney injury （AKI）, urgent dialysis of end-stage renal disease （ESRD）, refractory congestive heart failure, poisoning, acute pancreatitis, hyperpyrexia or hypothermia, hepatic failure, temporary dialysis during postoperative period of herniorrhaphy in peritoneal dialysis patients, and a new route of drug administration and liquid infusion. Besides, APD is an ideal renal replacement therapy for ESRD children.

关 键 词：自动化腹膜透析 急性肾损伤 终末期肾病 难治性充血性心力衰竭 

分 类 号：R459.5[医药卫生—治疗学]