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一名患有严重尿毒症综合征且多次血液透析通路失败患者的急性腹膜透析

Acute Peritoneal Dialysis in a Patient with Severe Uremic Syndrome and Multiple Hemodialysis Access Failure.

作者信息

Duarsa Made Dyah Vismita Indramila, Mahadita Gede Wira, Kandarini Yenny

机构信息

Rumah Sakit Umum Pusat Sanglah Denpasar, Denpasar, Indonesia.

出版信息

Case Rep Nephrol. 2024 Aug 5;2024:8891887. doi: 10.1155/2024/8891887. eCollection 2024.

DOI:10.1155/2024/8891887
PMID:39135880
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11319061/
Abstract

A 67-year-old woman was diagnosed with chronic kidney disease stage V, severe uremia syndrome, hyperkalemia, metabolic acidosis, suspected pulmonary oedema, and multiple hemodialysis access failure. The patient is in a condition that requires emergency hemodialysis, but the patient does not have any access to undergo hemodialysis. The patient then underwent acute peritoneal dialysis and received an adequate response. The patient continued continuous ambulatory peritoneal dialysis and responded well.

摘要

一名67岁女性被诊断为慢性肾脏病Ⅴ期、严重尿毒症综合征、高钾血症、代谢性酸中毒、疑似肺水肿以及多次血液透析通路失败。患者病情需要紧急血液透析，但患者没有任何可进行血液透析的通路。该患者随后接受了急性腹膜透析并获得了充分反应。患者继续进行持续性非卧床腹膜透析，反应良好。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c744/11319061/97220a0e596b/CRIN2024-8891887.001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c744/11319061/97220a0e596b/CRIN2024-8891887.001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c744/11319061/97220a0e596b/CRIN2024-8891887.001.jpg

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本文引用的文献

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Unveiling a pseudoaneurysm at the anastomosis site in a transplanted kidney: An initial misclassification as hydro nephrosis - A case report and literature review.移植肾吻合口处假性动脉瘤的发现：最初误诊为肾积水——病例报告及文献复习
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Epidemiology of peritoneal dialysis outcomes.腹膜透析结局的流行病学。
Nat Rev Nephrol. 2022 Dec;18(12):779-793. doi: 10.1038/s41581-022-00623-7. Epub 2022 Sep 16.
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Randomized Study of Urgent-Start Peritoneal Dialysis Versus Urgent-Start Temporary Hemodialysis in Patients Transitioning to Kidney Failure.急性肾衰竭患者紧急开始腹膜透析与紧急开始临时血液透析的随机研究
Kidney Int Rep. 2022 Jun 11;7(8):1866-1877. doi: 10.1016/j.ekir.2022.05.032. eCollection 2022 Aug.
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Acute Renal Failure and Its Complications, Indications for Emergent Dialysis, and Dialysis Modalities.急性肾衰竭及其并发症、紧急透析的指征和透析方式。
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