腹膜透析

DeckerMed Family Medicine Pub Date : 2019-10-29 DOI:10.2310/fm.12057

K. François, J. Bargman

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引用次数: 0

摘要

在腹膜透析(PD)中，腹膜作为生物透析膜。灌注腹膜的巨大毛细血管网络的内皮充当半透膜的功能，并允许在血管内空间和腹膜腔内的透析液之间双向转移溶质和水。PD是终末期肾病患者的肾脏替代策略。它也可以提供超滤患者利尿剂耐药液体超载，甚至在那些没有晚期肾衰竭。PD也可用于急性肾损伤患者，尽管在发达国家，与体外治疗相比，这种情况很少发生。本综述包含9个视频、8个图、4个表和73篇参考文献。关键词:腹膜透析，腹膜腔，导管，透析液，超滤，隧道感染，渗透压，肾功能衰竭

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Peritoneal Dialysis

In peritoneal dialysis (PD), the peritoneum serves as a biological dialyzing membrane. The endothelium of the vast capillary network perfusing the peritoneum functions as a semipermeable membrane and allows bidirectional solute and water transfer between the intravascular space and dialysate fluid dwelling in the peritoneal cavity. PD is a renal replacement strategy for patients presenting with end-stage renal disease. It can also be offered for ultrafiltration in patients with diuretic-resistant fluid overload even in those without advanced renal failure. PD can also be used for patients with acute kidney injury, although in the developed world this occurs rarely compared to the use of extracorporeal therapies. This review contains 9 videos, 8 figures, 4 tables, and 73 references. Keywords: peritoneal dialysis, peritoneal cavity, catheter, dialysis fluid, ultrafiltration, tunnel infection, osmotic pressure, renal failure

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DeckerMed Family Medicine

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