Mactier R A, Khanna R, Twardowski Z J, Nolph K D
Department of Medicine, University of Missouri Health Sciences Center, Columbia 65212.
Am J Kidney Dis. 1987 Dec;10(6):461-6. doi: 10.1016/s0272-6386(87)80194-4.
We describe a continuous ambulatory peritoneal dialysis (CAPD) patient who developed failure of ultrafiltration for no apparent cause during the first year of treatment. Further investigation showed that peritoneal cavity lymphatic reabsorption during the dwell time exceeded cumulative transcapillary ultrafiltration and so caused negative net ultrafiltration. Peritoneal lymphatic drainage should be added to the list of causes that, either singly or in combination, lead to loss of ultrafiltration in CAPD.
我们描述了一名持续性非卧床腹膜透析（CAPD）患者，该患者在治疗的第一年出现了无明显原因的超滤失败。进一步调查显示，在留腹期间腹膜腔淋巴重吸收超过了累积的跨毛细血管超滤，从而导致净超滤为负。腹膜淋巴引流应被列入单独或共同导致CAPD超滤丢失的原因清单中。
