摘要
目的 观察本院1993年来终末期肾病患者腹膜透析转向血液透析的原因。方法 回顾性分析上海市第一人民医院1993～2000年间腹透失败改行血透治疗的病人,退出原因分为1.腹腔感染;2.失超滤;3.透析不充分;4.腹透管问题;5.明显胸腔积液;6.其它原因。统计各自百分率并与相关报道作比较。结果 266例腹透患者中有66例改为血透治疗,对其中55例(在我院改血透且资料完整)进行分析。患者平均腹透时间为18.1月。腹透早期(透析时间<6月)退出原因百分比分别为15.8％、5.2％、21％、26.4％、10.5％和21％。长期腹透患者(透析时间≥12月)分别为46.7％、23.3％、10％、0％、6.7％和13.3％。结论 早期的腹透管问题及后期的腹腔感染和失超滤是腹透失败转血透的主要原因,失超滤常继发于腹腔感染。
Objective To analyze the causes of patients treated with peritoneal dialysis(PD) transfer-ring to hemodialysis(HD) and compare it to the reports of other countries. Methods 266 patients recaved peritoneal dialysis between 1993 and 2000 in Shanghai first hospital were retrospectively analyzed according to different causes including peritonitis, failure in ultra- filtration, inadequate dialysis, peritoneal tube problem, severe hydrothorax and other causes. Results Altogether 66 patients were transferred from PD to HD, in which 55 patients transferred in our hospital were in this analysis. The average peritoneal dialysis time is (18.1 ± 17.9) months. In the first 6 months from initial PD, the rate of causes for dropout from peritoneal dialysisis 15.8%, 5.2%,21%,26.4%, 10.5% and 21%. For patients whose peritoneal dialyais times longer than 12 months, the rates are 46.7%, 23.3% ,10%,0%,6.7% and 13.3% respectively. Conchl-sions In the first 6 months peritoneal dialysis tube problem peritonitis later and failure in ultra - filtration are the main causes for patients to transfer from peritoneal dialysis to hemodialysis. Failure in ultra - filtration usually occurs after peritonitis.
出处
《中国血液净化》
2002年第4期34-37,共4页
Chinese Journal of Blood Purification
关键词
腹膜透析
血液透析
终末期肾病
Peritoneal dialysis
Hemodialysis
End stage renal disease
