Prakash J, Singh L K Sharatchandra, Shreeniwas S, Ghosh B, Singh T B
Department of Nephrology, Institute of Medical Sciences, Banaras Hindu University, Varanasi, India.
Indian J Nephrol. 2011 Apr;21(2):112-5. doi: 10.4103/0971-4065.82125.
Data on non-infectious complications of continuous ambulatory peritoneal dialysis (CAPD) are sparingly reported from different centres of the country. We studied the non-infectious complications in patients of end stage-renal disease (ESRD) undergoing CAPD. Double-cuffed straight catheter was inserted in all patients using the surgical method and CAPD was started on the 15(th) day of catheter insertion. The nature of non-infectious complications was noted during follow-up in these patients. Forty-five (male 31, female 14) patients with the mean age of 54.5±11.6 years were studied. Diabetic nephropathy was the most common (59.5%) cause of ESRD. Overall, non-infectious complications were noted in 18/45 (40%) cases. Ultrafiltration failure was the most common (15.5%) followed by incisional hernia (6.6%), exit site leak (4.4%), hydrothorax (4.4%), catheter malposition (4.4%), scrotal swelling (2.2%) and hemoperitoneum (2.2%). Patients with ultrafiltration failure were either shifted to hemodialysis or underwent renal transplantation. The remaining (62%) non-infectious complications did not affect the catheter survival and CAPD could be continued. Non-infectious complications occurred in 40% of our CAPD patients and ultrafiltration failure was the most common (15.5%). A majority (62%) of the complications did not affect catheter survival.
关于持续性非卧床腹膜透析（CAPD）非感染性并发症的数据，国内不同中心的报道较少。我们研究了接受CAPD治疗的终末期肾病（ESRD）患者的非感染性并发症。所有患者均采用手术方法插入双套囊直管导管，并在导管插入第15天开始CAPD治疗。在这些患者的随访过程中记录非感染性并发症的情况。研究了45例（男性31例，女性14例）平均年龄为54.5±11.6岁的患者。糖尿病肾病是ESRD最常见的病因（59.5%）。总体而言，18/45例（40%）出现了非感染性并发症。超滤失败最为常见（15.5%），其次是切口疝（6.6%）、出口处渗漏（4.4%）、胸腔积液（4.4%）、导管位置异常（4.4%）、阴囊水肿（2.2%）和腹腔积血（2.2%）。超滤失败的患者要么转为血液透析，要么接受肾移植。其余（62%）非感染性并发症未影响导管的留存，CAPD可继续进行。我们的CAPD患者中有40%发生了非感染性并发症，超滤失败最为常见（15.5%）。大多数（62%）并发症未影响导管留存。
