發(fā)布時間：2018-06-27 15:42

  本文選題：腹膜透析 + 胸腹瘺��； 參考：《腎臟病與透析腎移植雜志》2017年01期

【摘要】：腹膜透析是終末期腎病患者的腎臟替代治療方法之。胸腹瘺是腹膜透析患者少見但嚴(yán)重的并發(fā)癥之一,可能的致病機(jī)制包括先天性橫膈發(fā)育異常、淋巴引流和胸腹腔壓力梯度。部分患者無明顯臨床癥狀,或突然出現(xiàn)胸悶、氣短,超濾量下降及胸痛,診斷方法包括胸水中異常增高的葡萄糖濃度、亞甲藍(lán)實(shí)驗(yàn)或者X線胸片、CT、MRI、放射性核素檢查等。維持性腹膜透析患者出現(xiàn)胸腹瘺,半數(shù)需改為血液透析。因此,及時準(zhǔn)確地診斷胸腹瘺有重要意義。
[Abstract]:Peritoneal dialysis is a renal replacement therapy for end-stage nephropathy patients. Thoracoabdominal fistula is one of the rare but severe complications in peritoneal dialysis patients. The possible pathogenetic mechanisms include congenital diaphragmatic dysplasia lymphatic drainage and pressure gradient of chest and abdominal cavity. Some of the patients had no obvious clinical symptoms, or had sudden chest tightness, shortness of breath, decreased ultrafiltration and chest pain. The diagnostic methods included abnormal elevated glucose concentration in pleural effusion, methylene blue test or chest X-ray MRI, radionuclide examination, etc. Thoracoabdominal fistula was found in maintenance peritoneal dialysis patients, half of whom need hemodialysis. Therefore, timely and accurate diagnosis of thoracoabdominal fistula is of great significance.
【作者單位】： 第四軍醫(yī)大學(xué)第一附屬醫(yī)院腎內(nèi)科;
【分類號】：R692.5

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本文編號：2074407