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与终末期肾病相关的腹水

Ascites associated with end-stage renal disease.

作者信息

Glück Z, Nolph K D

出版信息

Am J Kidney Dis. 1987 Jul;10(1):9-18. doi: 10.1016/s0272-6386(87)80004-5.

DOI:10.1016/s0272-6386(87)80004-5
PMID:3300289
Abstract

Patient characteristics, clinical outcomes, and proposed pathophysiologic mechanisms are reviewed in 138 patients reported in the literature to have had ascites associated with end-stage renal disease. Contributing mechanisms may include fluid overload, peritoneal membrane changes (not necessarily related to peritoneal dialysis), hypoproteinemia, and lymphatic drainage disturbances. In 15% of cases, extensive evaluations may reveal an underlying disease. The most effective therapy may be kidney transplantation.

摘要

对文献报道的138例患有终末期肾病相关腹水的患者的患者特征、临床结局及提出的病理生理机制进行了综述。促成机制可能包括液体超负荷、腹膜变化(不一定与腹膜透析有关)、低蛋白血症和淋巴引流障碍。在15%的病例中,广泛评估可能会发现潜在疾病。最有效的治疗方法可能是肾移植。

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