Tu Wen-Ting, Su Zhen, Shan Yi-Sheng
Division of Nephrology, The First Affiliated Hospital of Wenzhou Medical College, Wenzhou, Zhejiang, P.R. China.
Perit Dial Int. 2009 May-Jun;29(3):325-9.
To describe an original non-traumatic maneuver for repositioning a migrated peritoneal dialysis (PD) catheter.
First, tissues wrapping the PD catheter are dissociated, then a correct route is selected according to the position of the catheter, and finally the catheter is repositioned manually in 8 steps: pressing, palpating, vibrating, wave vibrating, rotating, back-pushing and vibrating, swaying, and compressing.
Of 30 cases of PD catheter migration, repositioning was successful on the first attempt in 9 cases, on the third attempt in 10 cases, on the seventh attempt in 7 cases, and failed in 4 cases. The overall success rate was 86.7%.
Manual repositioning of a migrated PD catheter is safe, painless, economical, and feasible. Repositioning of the migrated dialysis catheter may be attempted before referral for more invasive interventions.
描述一种用于重新定位移位腹膜透析（PD）导管的原创非创伤性操作方法。
首先，分离包裹PD导管的组织，然后根据导管位置选择正确路径，最后分8步手动重新定位导管：按压、触诊、振动、波浪式振动、旋转、回推与振动、摇晃和挤压。
30例PD导管移位患者中，9例首次尝试重新定位成功，10例第三次尝试成功，7例第七次尝试成功，4例失败。总体成功率为86.7%。
手动重新定位移位的PD导管安全、无痛、经济且可行。在转诊进行更具侵入性的干预之前，可尝试重新定位移位的透析导管。
