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[透析相关性腹膜炎的危险因素(三年前瞻性研究)]

[THE RISK FACTORS OF THE DIALYSIS PERITONITIS (THREE-YEARS PROSPECTIVE INVESTIGATION)].

作者信息

Mishalov V G, Zavodovskiy E S, Markulan L Yu, Goyda S M

出版信息

Klin Khir. 2015 Sep(9):23-5.

PMID:26817079
Abstract

The risk factors of the dialysis peritonitis occurrence were determined in patients with chronic renal disease, to whom a substitute renal therapy, using peritoneal dialysis, was conducted. The results of a three-year prospective investigation and treatment of 73 patients in Kyiv City Oleksandrivska Clinical Hospital on the base of the general surgery and nephrology departments in 2007 - 2010 yrs were studied. The dialysis peritonitis (first episode) have occurred in 42 (57.5%) patients. Cumulative rate of a dialysis peritonitis in accordance to a censored data (the dialysis peritonitis suspension or other causes) have constituted 67.7%. Due to the dialysis peritonitis occurrence the peritoneal dialysis was stopped in 14 (19.2%) patients. The obesity, raising of a serum albumin level, constipation, preliminary injection into the site of the catheter exit site we consider a risk factors for the dialysis peritonitis occurrence.

摘要

对接受腹膜透析替代肾脏治疗的慢性肾病患者,确定了发生透析相关性腹膜炎的危险因素。研究了2007 - 2010年期间,基辅市奥列克桑德里夫斯卡临床医院普通外科和肾病科对73例患者进行的为期三年的前瞻性调查和治疗结果。42例(57.5%)患者发生了透析相关性腹膜炎(首次发作)。根据截尾数据(透析相关性腹膜炎缓解或其他原因)得出的透析相关性腹膜炎累积发生率为67.7%。由于发生透析相关性腹膜炎,14例(19.2%)患者停止了腹膜透析。我们认为肥胖、血清白蛋白水平升高、便秘、在导管出口部位预先注射是发生透析相关性腹膜炎的危险因素。

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Klin Khir. 2015 Sep(9):23-5.
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