Department of Internal Medicine IV, Section of Nephrology, Klinikum Wels-Grieskirchen, Austria.
Department of Internal Medicine IV, Section of Nephrology, Klinikum Wels-Grieskirchen, Austria.
Am J Med. 2021 Jul;134(7):833-839. doi: 10.1016/j.amjmed.2021.02.007. Epub 2021 Mar 15.
Although nephrologists are responsible for the long-term care of dialysis patients, physicians from all disciplines will potentially be involved in the management of patients with kidney failure, including patients on peritoneal dialysis, the major home-based form of kidney-replacement therapy. This review aims to fill knowledge gaps of non-experts in peritoneal dialysis and to highlight key management aspects of in-hospital care of patients on peritoneal dialysis, with a focus on acute scenarios to facilitate prompt decision-making. The clinical pearls provided should enable non-nephrologists to avoid common pitfalls in the initial assessment of peritoneal dialysis-related complications and guide their decision regarding when to refer their patients to a specialist, resulting in improved multidisciplinary patient care.
尽管肾病学家负责透析患者的长期护理，但所有医学专业的医生都可能参与肾衰竭患者的管理，包括接受腹膜透析治疗的患者，这是主要的家庭肾脏替代治疗方式。本篇综述旨在填补非专家在腹膜透析方面的知识空白，并强调腹膜透析患者住院治疗的关键管理方面，重点关注急性情况，以促进快速决策。提供的临床要点应使非肾病学家能够避免在评估腹膜透析相关并发症时常见的错误，并指导他们决定何时将患者转介给专家，从而改善多学科患者护理。
