腹膜透析在难治性充血性心力衰竭患者中的应用

R. Azar, Arielle Desitter, M. Guillou, Justine Schricke, Manon Geeraert
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引用次数: 0

摘要

慢性心力衰竭是一个日益严重的问题。尽管在治疗方面取得了进展,但许多患者对包括利尿剂抵抗、严重充血和肾功能恶化在内的治疗变得难治性。去除多余的水和钠的唯一替代方法是超滤,这可以通过血液透析或腹膜透析(PD)来实现。大多数研究显示PD的多重益处,如功能等级的改善,住院时间的减少导致生活质量的提高,甚至死亡率的降低。作为一种家庭透析技术,它更容易被患者接受。在目前的新疗法时代,仍有必要确认这些潜在的积极结果,并确定哪些患者将从这种治疗中获益最多。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Peritoneal dialysis in patients with refractory congestive heart failure
Chronic heart failure is a growing problem. Despite progress in its management, many patients become refractory to therapies including diuretic resistance, major congestion, and worsening renal function. The only alternative to get rid of excess water and sodium is ultrafiltration, which can be achieved via hemodialysis or peritoneal dialysis (PD). The majority of studies have shown multiple benefits of PD as an improvement in functional class, a reduction in hospitalization leading to increased quality of life, and even a reduction in mortality. Being a home dialysis technique, it is more favorably accepted by patients. It remains necessary to confirm these potential positive outcomes and to identify patients who would benefit the most from this treatment in the era of new therapies available to date.
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