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[持续性非卧床腹膜透析期间的腹膜并发症:外科手术方面]

[Peritoneal complications during continuous ambulatory peritoneal dialysis: surgical aspects].

作者信息

Midy D, Dumont D, Wone C, Baste J C, Ragnaud J M, Brucher P, Albert M, Decea J L

出版信息

J Chir (Paris). 1985 Aug-Sep;122(8-9):447-54.

PMID:4044706
Abstract

The principal complication of continuous ambulatory peritoneal dialysis (CAPD) is peritonitis in most cases benign and treated effectively by local, specific antibiotic therapy. In some cases, however, the infection fails to respond to medical treatment and surgical exploration occasionally reveals serious lesions such as sclerosing peritonitis or an intestinal perforation. Prognosis is dependent not only on the extent and severity of the lesion but also on the rapidity of operative intervention. The development of an appendicitis, often masked by early antibiotic therapy, represents a particular course of peritoneal infection during CAPD.

摘要

持续性非卧床腹膜透析(CAPD)的主要并发症是腹膜炎,多数情况下为良性,可通过局部特异性抗生素治疗有效治愈。然而,在某些情况下,感染对药物治疗无反应,手术探查偶尔会发现严重病变,如硬化性腹膜炎或肠穿孔。预后不仅取决于病变的范围和严重程度,还取决于手术干预的速度。阑尾炎的发生在CAPD期间是一种特殊的腹膜感染过程,常被早期抗生素治疗所掩盖。

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