Durand P Y, Chanliau J, Gamberoni J, Hestin D, Kessler M
ALTIR & Nephrology Department, Chru Nancy, France.
Adv Perit Dial. 1992;8:108-12.
A simple, non-invasive and well-tolerated technique for routine measurement of intraperitoneal hydrostatic pressure (IPP) in patients treated with peritoneal dialysis (PD) is presented. The height of the dialysis fluid in the PD line was measured, under atmospheric pressure, before drainage and during inspiration (IPPinsp) and expiration (IPPexp), taking the axillary line as the reference point of the resting subject in strict supine position. Normal values were established for a population of 18 patients treated with PD for 19.8 +/- 20.9 months under clinical and biological stable conditions. For an intraperitoneal volume of 2,820 +/- 419 ml, IPPinsp = 14 +/- 2 cmH2O; IPPexp = 12 +/- 2 cmH2O; IPP mean (defined as (IPPinsp+IPPexp)/2) = 13 +/- 2 cmH2O; IPP (defined as IPPinsp - IPPexp) = 2 +/- 2 cmH2O. IPP could not predict mechanical complications (hernia, hemorrhoids, dialysis fluid leakage) but the maximal IPPexp clinically tolerated was 20 cmH2O.
本文介绍了一种简单、无创且耐受性良好的技术，用于对接受腹膜透析（PD）治疗的患者进行常规腹膜静水压（IPP）测量。在大气压下，于引流前以及吸气（IPPinsp）和呼气（IPPexp）期间测量PD管路中透析液的高度，以腋中线作为处于严格仰卧位的静息受试者的参考点。在临床和生物学稳定条件下，为18例接受PD治疗19.8±20.9个月的患者群体确定了正常值。对于2820±419 ml的腹腔容积，IPPinsp = 14±2 cmH2O；IPPexp = 12±2 cmH2O；IPP平均值（定义为(IPPinsp + IPPexp)/2）= 13±2 cmH2O；IPP（定义为IPPinsp - IPPexp）= 2±2 cmH2O。IPP无法预测机械并发症（疝气、痔疮、透析液渗漏），但临床上可耐受的最大IPPexp为20 cmH2O。
