摘要
腹膜透析(PD)是终末期肾脏疾病(ESRD)替代治疗的主要方法,近年来在中国得到了广泛推广和应用。腹膜透析技术顺利进行依赖于腹膜透析导管的成功置入和导管并发症的成功处置。文章主要针对腹膜透析置管实施过程中的常用技术和质量因素(外科手术技术、腹腔镜置管技术和经皮穿刺置入技术)以及腹膜透析导管相关并发症的诊断与处理进行讨论,希望能对PD工作者在具体的PD置管工作中提供帮助或借鉴,旨在提高PD医生的关键技术能力、提高腹膜透析患者的技术生存率以及整体透析质量。
Peritoneal dialysis （PD） is the primary method of renal replacement therapy for patients with end-stage renal disease （ESRD） ,which has been widely promoted and applied in our country nowadays. Effective execution of PD depends on the successful insertion of peritoneal dialysis catheter and management of catheter related complications. This review was de- signed to delineate the different ways of catheter insertion during PD （ including an open surgical procedure ; laparoscopic in- sertion and the percutaneous Seldinger technique） ,and the diagnosis and countermeasures of PD catheter-related complications, and to enhance the capacity of nephrologist＇s catheter implantation, thus improving patients＇ survival rate and quality of life.
出处
《中国实用内科杂志》
CAS
CSCD
北大核心
2013年第6期431-435,共5页
Chinese Journal of Practical Internal Medicine
关键词
腹膜透析
导管置入
腹膜透析导管相关并发症
peritoneal dialysis
catheter insertion
peritoneal dialysis catheter related complications
