大量胸腔积液并发持续性非卧床腹膜透析
Massive hydrothorax complicating continuous ambulatory peritoneal dialysis.
作者信息
Singh S, Vaidya P, Dale A, Morgan B
出版信息
Nephron. 1983;34(3):168-72. doi: 10.1159/000183004.
PMID:6877448
Abstract
2 patients on continuous ambulatory peritoneal dialysis (CAPD) developed massive hydrothorax. Further studies revealed preferential transfer of fluid from peritoneal cavity to pleural space in absence of a direct pleuroperitoneal communication. Hydrothorax resolved in both following a brief interruption in CAPD but recurred in one upon restitution of CAPD. In case of recurrent hydrothorax, pleurodesis or alternate dialytic therapy should be considered.
摘要
2例持续非卧床腹膜透析（CAPD）患者发生大量胸腔积液。进一步研究显示，在没有直接胸膜腹膜交通的情况下，液体从腹腔优先转移至胸膜腔。两例患者在CAPD短暂中断后胸腔积液均消退，但其中1例在恢复CAPD后复发。对于复发性胸腔积液，应考虑胸膜固定术或替代透析治疗。
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