一例腹膜透析合并胸腹瘘患儿的护理  

Reinitiation of peritoneal dialysis in a child co-morbid with pleuro-abdominal fistula after comprehensive management: a case report

作　　者：沈霞 赵蕊 周清[1] 谈智 庞丽平[2] Shen Xia;Zhao Rui;Zhou Qing;Tan Zhi;Pang Liping(Nephrology,Children′s Hospital of Fudan University,Shanghai 201102,China;Nephrology,Children′s Hospital of Shanxi Province,Taiyuan 030013,China)

机构地区：[1]复旦大学附属儿科医院肾脏内科,上海201102 [2]山西省儿童医院肾脏内科,太原030013

出　　处：《中国实用护理杂志》2019年第23期1803-1805,共3页Chinese Journal of Practical Nursing

基　　金：上海市重要薄弱学科建设项目(2015ZB0302).

摘　　要：对1例腹膜透析2年8个月发生胸腹瘘的患儿进行护理.护理措施为胸腹瘘的识别及病情观察;临时血液透析的护理;腹膜透析暂停期的护理;再次行腹膜透析后的护理,包括病情观察、腹内压增高的预防、知识和技能培训、患儿及家属的心理支持以及营养指导.患儿8周血液透析后,行腹膜透析治疗,过程顺利,未发生胸腹瘘,14 d后出院并继续进行腹膜透析.A child developed pleuro-abdominal fistula after 2 years and 8 months on long-term peritoneal dialysis (PD). A comprehensive care package was offered to the child, including recognizing and monitoring the manifestation of pleuro-abdominal fistula, management during the temporary hemodialysis, monitoring the child's condition after the reinitiation of peritoneal dialysis, preventing the high intraperitoneal pressure, psychological supporting for the parents, training of PD related knowledge and practice, and offering nutrition guidance. After 8-week temporary hemodialysis, PD was reinitiated and the transition was smooth. The child was discharged free of any symptom after 14 days of reinitiation.

关 键 词：腹膜透析 胸腹瘘 护理 儿童 

分 类 号：R473.72[医药卫生—护理学]