腹膜透析气腹的产生原因及诊断现状  

The Research Status of Peritoneal Dialysis Patients with Pneumoperitoneum

作　　者：谢小均[1] 李新[1] 

机构地区：[1]泸州医学院附属医院胸心外科,四川泸州646000

出　　处：《中外医疗》2015年第3期191-192,共2页China & Foreign Medical Treatment

摘　　要：气腹是外科急诊手术重要指征之一,然而,当腹膜透析病人这一类特殊人群合并气腹征象时,不能单纯考虑为脏器穿孔而盲目手术。另一方面,腹膜透析病人若合并空腔脏器穿孔,同样不能仅仅考虑为腹膜透析操作因素而导致漏诊。目前腹膜透析在国内各大、小型医院应用越来越广泛。为深入提高人们对该疾病的认识,该研究通过查阅国内外相关文献报道,对腹膜透析病人气腹产生原因及诊断思路进行阐述。The pneumoperitoneum always requires emergency surgery.However,there are causes of nonsurgical pneumoperitoneum either.Patients who received peritoneal dialysis are a kind of special populations.When peritoneal dialysis patients occur with pneumoperitoneum,we should never make a diagnosis of viscera perforation imprudently which maybe require an unnecessary sur-gical management.On the other hand, if the patient really has viscera perforation,we can not make misdiagnosis for just regarding the dialysate exchange.At present, the peritoneal dialysis is widely used in Chinese hospitals.In order to better improve the under-standing of the disease,we reviewed previously published studies around the world and elaborated the causes of pneumoperitoneum and the tactics of the diagnosis.

关 键 词：腹膜透析 气腹 病因 发病机制 

分 类 号：R45[医药卫生—治疗学]