Kechrid M C, Malik G H, Shaikh J F, Al-Mohaya S, Al-Wakeel J S, El Gamal H
Department of Internal Medicine, Security Forces Hospital, Riyadh, Saudi Arabia.
Saudi J Kidney Dis Transpl. 1999 Apr-Jun;10(2):163-6.
We describe here hydrothorax that occurred in a patient on continuous ambulatory peritoneal dialysis (CAPD) and highlight the problems of diagnosis and management. A 48 years-old man with history of obstructive uropathy secondary to urolithiasis was stared on CAPD when he reached end-stage renal failure. Two months later, he was admitted with two days history of shortness of breath on exertion and dry cough increasing in supine position. Chest examination was suggestive of right sided pleural effusion confusion confirmed by chest X-ray. Radioisotope Technetium 99m labeled albumin instilled through the peritoneal catheter was detected in the right pleural fluid confirming the peritoneo-pleural leak. The peritoneal dialysis (PD) was discontinued and the patient was switched to hemodialysis. The pleural effusion subsided and has not recurred for the following three years.
我们在此描述了一例持续非卧床腹膜透析（CAPD）患者发生的胸腔积液，并强调了诊断和管理方面的问题。一名48岁男性，有因尿路结石继发梗阻性尿路病的病史，在达到终末期肾衰竭时开始进行CAPD治疗。两个月后，他因活动时气短两天和仰卧位时干咳加重入院。胸部检查提示右侧胸腔积液，胸部X线检查证实了这一情况。通过腹膜导管注入的放射性同位素锝99m标记白蛋白在右侧胸腔积液中被检测到，证实了腹膜-胸膜瘘。腹膜透析（PD）被停止，患者转而接受血液透析。胸腔积液消退，在接下来的三年中未再复发。
