Yao F Zhuangyan, Li S Yanqing, Zhai T Liping
Affiliated Hospital of Guangdong Medical University, Zhanjiang, Guangdong province, China.
BMC Nephrol. 2025 Feb 1;26(1):50. doi: 10.1186/s12882-025-03975-x.
Peritoneal dialysis catheter migration, a common complication in patients undergoing peritoneal dialysis, often leads to poor dialysate drainage, infection, and abdominal pain. Timely and effective treatment of catheter migration is essential to ensure uninterrupted dialysis.
This study presents three cases of peritoneal dialysis (PD) catheter displacement in patients with end-stage renal disease (ESRD), involving three elderly individuals aged 80, 81, and 76 years. All instances of catheter displacement were primarily localized to the upper abdominal region. Following unsuccessful attempts with traditional repositioning methods (such as positional adjustments, ambulation, and saline infusion), a two-person collaborative repositioning technique was employed, combining external manual pressure with rapid saline injection. Consequently, all catheters were successfully repositioned to the pelvic area and remained stable throughout the follow-up period.
This re-port preliminarily demonstrated the feasibility and effectiveness of two-person collaborative repositioning approach in elderly patients with PD catheter displacement. Although the results have potential application value, further studies are needed to verify their generality and long-term efficacy in larger samples.
腹膜透析导管移位是腹膜透析患者的常见并发症，常导致透析液引流不畅、感染和腹痛。及时有效地治疗导管移位对于确保透析的不间断进行至关重要。
本研究呈现了3例终末期肾病（ESRD）患者发生腹膜透析（PD）导管移位的病例，涉及3名年龄分别为80岁、81岁和76岁的老年人。所有导管移位情况主要局限于上腹部区域。在传统复位方法（如体位调整、活动及盐水输注）尝试失败后，采用了两人协作复位技术，将外部手动加压与快速注射盐水相结合。结果，所有导管均成功复位至盆腔区域，且在随访期间保持稳定。
本报告初步证明了两人协作复位方法在老年PD导管移位患者中的可行性和有效性。尽管结果具有潜在应用价值，但仍需进一步研究以验证其在更大样本中的普遍性和长期疗效。
