Murugasu B, Conley S B, Lemire J M, Portman R J
Department of Pediatrics, University of Texas Medical School, Houston 77030.
Pediatr Nephrol. 1991 Sep;5(5):620-1. doi: 10.1007/BF00856656.
Feeding gastrostomies were placed in three children treated with chronic peritoneal dialysis at our center because of persistent, severe malnutrition and inadequate growth. Two had frequent fungal infections of the gastrostomy site and all three developed Candida peritonitis which occurred at 1 month, 2 months and 2 years after insertion of gastrostomy. Complications included multiple intra-abdominal adhesions, abscess formation and loss of peritoneal function necessitating transfer to hemodialysis. The presence of a gastrostomy may predispose to the development of fungal peritonitis with its high morbidity and should be avoided in children on chronic peritoneal dialysis.
由于持续严重营养不良和生长发育不良，我们中心对三名接受慢性腹膜透析治疗的儿童进行了胃造口术置管。其中两名儿童胃造口部位频繁发生真菌感染，三名儿童均发生了念珠菌性腹膜炎，分别在胃造口术后1个月、2个月和2年出现。并发症包括多处腹腔粘连、脓肿形成以及腹膜功能丧失，最终需要转为血液透析。胃造口的存在可能易引发真菌性腹膜炎，且发病率高，对于接受慢性腹膜透析的儿童应避免进行胃造口术。
