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中华肾病研究电子杂志 ›› 2023, Vol. 12 ›› Issue (06) : 329 -333. doi: 10.3877/cma.j.issn.2095-3216.2023.06.005

综述

腹膜透析的退出原因及其防治策略
李想, 王秀芬(), 张涛, 李英   
  1. 050000 石家庄,河北医科大学第三医院肾内科
  • 收稿日期:2022-09-13 出版日期:2023-12-28
  • 通信作者: 王秀芬

Causes and prevention and treatment strategies of peritoneal dialysis withdrawal

Xiang Li, Xiufen Wang(), Tao Zhang, Ying Li   

  1. Department of Nephrology, Third Hospital of Hebei Medical University, Shijiazhuang 050000, Hebei Province, China
  • Received:2022-09-13 Published:2023-12-28
  • Corresponding author: Xiufen Wang
引用本文:

李想, 王秀芬, 张涛, 李英. 腹膜透析的退出原因及其防治策略[J/OL]. 中华肾病研究电子杂志, 2023, 12(06): 329-333.

Xiang Li, Xiufen Wang, Tao Zhang, Ying Li. Causes and prevention and treatment strategies of peritoneal dialysis withdrawal[J/OL]. Chinese Journal of Kidney Disease Investigation(Electronic Edition), 2023, 12(06): 329-333.

腹膜透析作为主要的肾脏替代治疗手段之一,虽已取得了很大的技术进步,但是其退出率目前仍居高不下。研究提示,心血管疾病、感染相关并发症、超滤衰竭、机械并发症、社会心理因素为腹膜透析退出的主要原因。本文综述了腹膜透析的退出原因及其防治策略的研究进展。

Peritoneal dialysis (PD), as one of the main kidney replacement treatments for patients with end-stage kidney disease, has achieved a lot of technical progress, but its rate of withdrawal is still high. Studies have suggested that cardiovascular disease, infection-related complications, ultrafiltration failure, mechanical complications, and social psychological factors are the main reasons for the patients′ PD withdrawal. This article reviewed the research progress on PD withdrawal′s causes and prevention and treatment strategies.

表1 腹膜透析患者心血管事件的一般防治策略[2,3,4,5,6,7,8,9]
表2 其他提高难治性腹膜炎及出口处感染治疗成功率的方法
表3 超滤衰竭的防治研究进展
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