Misra M, Goel S, Khanna R
School of Medicine, University of Missouri-Columbia, USA.
Adv Perit Dial. 1998;14:95-7.
Patients with intra-abdominal vascular catastrophes may develop acute and/or chronic renal failure requiring dialysis. To patients with in-situ vascular prostheses the use of peritoneal dialysis (PD) may offer considerable advantages including better hemodynamic control and avoidance of anti-coagulation in a critically ill patient. Institution of PD in such patients, however, often gives rise to concerns relating to peritonitis and subsequent infection of the prosthesis, fluid leaks, and abdominal wound dehiscence. A review of available literature suggests that PD has been utilized in both acute and chronic renal failure following intra-abdominal vascular procedures. PD appears to be an efficient mode of dialysis with a surprisingly small number of complications in these patients.
腹内血管灾难患者可能会发展为急性和/或慢性肾衰竭，需要进行透析。对于植入原位血管假体的患者，腹膜透析（PD）可能具有相当大的优势，包括更好的血流动力学控制以及避免在危重病患者中进行抗凝。然而，在此类患者中实施PD常常引发对腹膜炎及随后假体感染、液体渗漏和腹部伤口裂开的担忧。对现有文献的回顾表明，PD已被用于腹内血管手术后的急性和慢性肾衰竭。在这些患者中，PD似乎是一种有效的透析方式，并发症数量出奇地少。
