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11 例腹膜透析管穿透入肠腔:病例系列。

11 cases of peritoneal dialysis catheter penetrating into the intestinal cavity: case series.

机构信息

Department of Nephrology, 184 Hospital, Yingtan, Jiangxi Province, China.

出版信息

J Int Med Res. 2024 Sep;52(9):3000605241260556. doi: 10.1177/03000605241260556.

Abstract

The penetration of a peritoneal dialysis catheter into the intestinal cavity is a clinically rare complication. In the present retrospective clinical case series, 11 patients with uraemia who received continuous ambulatory peritoneal dialysis and attended hospital between 2019 and 2023 are described. The median patient age was 61.91 ± 11.33 years. All patients had previously experienced peritoneal dialysis-related peritonitis and were clinically cured by infusing sensitive antibiotics into the abdominal cavity. Colonoscopy was utilised to locate the penetrating catheter and close the perforation with a titanium clip once the catheter had been removed via an external approach. Following a 2-4-week fast, the perforations healed in all 11 patients. The present authors' experience illustrates that directly removing the catheter and clamping the perforation opening under the guidance of colonoscopy is simple to operate with few complications compared with traditional open surgery.

摘要

腹膜透析管穿入肠腔是一种临床罕见的并发症。在本回顾性临床病例系列研究中,描述了 2019 年至 2023 年间接受持续非卧床腹膜透析并住院的 11 例尿毒症患者。患者中位年龄为 61.91±11.33 岁。所有患者均曾经历过与腹膜透析相关的腹膜炎,并通过向腹腔内输注敏感抗生素治愈。在经外部途径取出导管后,使用结肠镜定位穿透导管并用钛夹封闭穿孔。所有 11 例患者在 2-4 周的禁食后穿孔均愈合。本研究作者的经验表明,与传统的开放性手术相比,在结肠镜引导下直接取出导管并夹闭穿孔口操作简单,并发症少。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/46cf/11375646/0496b8303027/10.1177_03000605241260556-fig1.jpg

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