Diaz-Buxo Jose A
Fresenius Medical Care NA, Charlotte, NC, USA.
Blood Purif. 2008;26(1):12-7. doi: 10.1159/000110557. Epub 2008 Jan 10.
A case report describing the evolution of encapsulating peritoneal sclerosis is presented to illustrate some of the functional and structural peritoneal membrane changes characteristic of this complication of peritoneal dialysis. The appropriate monitoring of peritoneal transport rates and ultrafiltration, together with attention to clinical signs and symptoms, are essential to the early diagnosis of peritoneal membrane deterioration. Recent reports suggest that timely interventions such as a peritoneal membrane rest period may effectively halt the progression of these functional and structural changes. While the optimal surgical and pharmacological treatment of encapsulating peritoneal sclerosis remains uncertain, the latest literature provides a certain degree of optimism.
本文呈现了一份病例报告，描述了包裹性腹膜硬化的发展过程，以阐明腹膜透析这一并发症所特有的一些腹膜功能和结构变化。对腹膜转运速率和超滤进行适当监测，同时关注临床体征和症状，对于早期诊断腹膜功能恶化至关重要。最近的报告表明，诸如腹膜休息期等及时干预措施可能有效地阻止这些功能和结构变化的进展。虽然包裹性腹膜硬化的最佳手术和药物治疗仍不确定，但最新文献提供了一定程度的乐观态度。
