Division of Nephrology, Department of Internal Medicine, The Catholic University of Korea, Seoul St. Mary׳s Hospital, Seoul, Korea.
Division of Nephrology, Department of Internal Medicine, Narayana Hrudayalaya Hospital, Bangalore, India.
Kidney Res Clin Pract. 2014 Sep;33(3):154-6. doi: 10.1016/j.krcp.2014.06.001. Epub 2014 Jul 25.
Peritoneal dialysis catheter ruptures have been managed by immediate removal and subsequent reinsertion of the catheter which inevitably entails interruption in peritoneal dialysis and a need for vascular access. A 36-year-old man on continuous ambulatory peritoneal dialysis complaining of dialysate leakage was found to have a small rupture near the outer cuff of the peritoneal dialysis catheter. Rather than employing the traditional method of exchanging the whole catheter, a partial replantation procedure to salvage the still-functioning conduit was performed. Two peritoneal dialysis adaptors were used to connect the end of the remaining old catheter to a new extraperitoneal segment of a new catheter and a piece of a transfer set to connect the adaptors. A novel, yet simple and safe, means of partial peritoneal dialysis catheter replantation when managing catheter injuries is suggested.
腹膜透析导管破裂的处理方法是立即将导管拔出，然后重新插入导管，这不可避免地会中断腹膜透析并需要血管通路。一位 36 岁的男性正在接受持续非卧床腹膜透析治疗，他抱怨透析液泄漏，结果发现腹膜透析导管的外袖套附近有一个小的破裂口。我们没有采用传统的更换整个导管的方法，而是采用了部分再植术来挽救仍能正常工作的导管。使用两个腹膜透析转接器将剩余旧导管的末端连接到新导管的新腹膜外段，并用一段转移套件将转接器连接起来。当处理导管损伤时，我们建议采用一种新颖、简单且安全的部分腹膜透析导管再植术方法。
