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温热腹腔透析液灌洗后发生迟发性肠穿孔。

Delayed bowel perforation after instilling over warmed peritoneal dialysate.

机构信息

Department of Nephrology, Shanghai Changhai Hospital, 168 Changhai Road, Shanghai, 200433, P.R. China.

Department of Gastroenterology, Shanghai Changhai Hospital, 168 Changhai Road, Shanghai, 200433, P.R. China.

出版信息

BMC Nephrol. 2021 Apr 20;22(1):139. doi: 10.1186/s12882-021-02343-9.

DOI:10.1186/s12882-021-02343-9
PMID:33879076
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8056609/
Abstract

BACKGROUND

Peritoneal dialysis (PD) is a safe and home-based treatment for end-stage renal disease (ESRD) patients. The direct thermal damage of abdominal organs is very rare.

CASE PRESENTATION

We report a peritoneal dialysis patient presented abdominal pain and feculent effluent 3 weeks after he instilled hot dialysis solution. In spite of emergency exploratory laparotomy and active treatment, the patient died of septic shock. Biopsy revealed necrosis and perforation of the intestines.

CONCLUSIONS

Delayed bowel perforation by hot fluid is very rare. Standardized performance is of the first importance for peritoneal dialysis patients.

摘要

背景

腹膜透析（PD）是一种安全且可居家进行的治疗终末期肾病（ESRD）患者的方法。腹部器官的直接热损伤非常罕见。

病例介绍

我们报告了一例腹膜透析患者在注入热透析液 3 周后出现腹痛和粪便性流出物。尽管进行了紧急剖腹探查和积极治疗，患者仍死于感染性休克。活检显示肠道坏死和穿孔。

结论

热液导致的迟发性肠穿孔非常罕见。对于腹膜透析患者，标准化操作至关重要。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/443a/8056609/39c513c90aa6/12882_2021_2343_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/443a/8056609/3be6182c9205/12882_2021_2343_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/443a/8056609/39c513c90aa6/12882_2021_2343_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/443a/8056609/3be6182c9205/12882_2021_2343_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/443a/8056609/39c513c90aa6/12882_2021_2343_Fig2_HTML.jpg

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Asian J Endosc Surg. 2016 Nov;9(4):311-313. doi: 10.1111/ases.12294. Epub 2016 May 10.
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Delayed bowel perforation in a peritoneal dialysis patient: a case report and literature review.腹膜透析患者的迟发性肠穿孔：一例报告及文献综述
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