Connacher A A, Stewart W K
Nephrol Dial Transplant. 1987;2(1):45-7.
Two patients treated with continuous ambulatory peritoneal dialysis had striking brownish-black coloured peritoneal dialysate concomitant with underlying pancreatitis. Examination of the second patient's dialysate by recording spectrophotometry showed the discoloration to be due to methaemalbumin. Haemorrhagic pancreatitis, by releasing proteolytic enzymes and perhaps by using the lesser sac as an anatomical cul-de-sac for chemical reaction, provides a suitable milieu for the production of methaemalbumin from red blood cells in dialysate.
两名接受持续性非卧床腹膜透析治疗的患者出现了显著的棕黑色腹膜透析液，同时伴有潜在的胰腺炎。通过记录分光光度法对第二名患者的透析液进行检查，结果显示变色是由高铁血红蛋白引起的。出血性胰腺炎通过释放蛋白水解酶，或许还通过将小网膜囊作为化学反应的解剖死腔，为从透析液中的红细胞产生高铁血红蛋白提供了适宜的环境。
