手术修补联合自动化腹膜透析治疗1例腹膜透析相关胸腹瘘患者的治疗体会  

Experience of surgical repair combined with automated peritoneal dialysis in the treatment of a patient with peritoneal dialysis-related thoracoabdominal fistula

作　　者：陈佳如 邹冬梅[1] 张笑明 余健文 黎渐英[1] Chen Jiaru;Zou Dongmei;Zhang Xiaoming;Yu Jianwen;Li Jianying(Department of Nephrology,the First Affiliated Hospital,Sun Yat-sen University,National Key Laboratory for Clinical Research in Kidney Disease,National Health Council(Sun Yat-sen University),Guangdong Provincial Key Laboratory of Nephrology,Guangzhou 510080,China)

机构地区：[1]中山大学附属第一医院肾内科,国家卫生健康委员会肾脏病临床研究重点实验室(中山大学),广东省肾脏病重点实验室,广州510080

出　　处：《中华肾脏病杂志》2024年第10期823-826,共4页Chinese Journal of Nephrology

摘　　要：该文总结1例通过手术修补联合自动化腹膜透析治疗维持性腹膜透析合并胸腹瘘患者的经验体会。经过医患间的紧密参与,不断地优化了诊断方法及腹膜透析方案,顺利在多学科团队联合下为患者实施了胸腹瘘修补术,患者病情好转出院。该病例提示规范诊断流程和优化诊断方法,提高诊断的敏感性和特异性,可争取早诊断和早干预;积极组建多学科团队,并鼓励患者参与决策,可提高患者的治疗信心;充分发挥自动化腹膜透析优势,减少各种并发症发生,可提高患者的生活质量。The paper summarizes the treatment experience of surgical repair combined with automated peritoneal dialysis in a maintenance peritoneal dialysis patient complicated with thoracoabdominal fistula.Through the close participation of medical and patients,the diagnosis method and peritoneal dialysis scheme were optimized continuously.The thoracoabdominal fistula repair operation was successfully implemented by a multidisciplinary team,and the patient's condition was improved and was discharged.This case suggests that standardized diagnosis process and optimized diagnosis method can be applied to improve the sensitivity and specificity of diagnosis,and strive for early diagnosis and intervention;multi-disciplinary teams can be actively formed and the patients can be encouraged to participate in decision-making,to improve treatment confidence;the advantages of automated peritoneal dialysis can be made full use to reduce complications and improve the life quality of the patient.

关 键 词：腹膜透析 外科手术 学科间信息交流 胸腹瘘 自动化腹膜透析 

分 类 号：R692.5[医药卫生—泌尿科学]