Durand P Y, Chanliau J, Gambéroni J, Hestin D, Kessler M
Altir, Chru Nancy, France.
Adv Perit Dial. 1993;9:233-5.
Intraperitoneal hydrostatic pressure (IPP) was measured in 10 patients for 15 days (until day 15) following peritoneal catheter implantation. Tenckhoff catheters were surgically implanted using a transrectal approach. The patients began peritoneal dialysis (PD) immediately, initially with small intraperitoneal fluid volumes (500 mL), gradually increasing to reach 2000 mL by day 7. In one patient PD was delayed until day 7 because of an initial leakage of dialysate. Inspiratory and expiratory IPP were measured daily, with the zero point fixed at the midaxillary line with the patient in the supine position. Despite the small intraperitoneal fluid volumes used initially (500 mL), IPP was much higher in the first 3 days following implantation than in the next 12 days (17 +/- 3 cm of water vs 11 +/- 1 cm of water). IPP remained high until day 3, then gradually decreased in a linear fashion until day 12, despite the increased intraperitoneal volumes used, and then remained constant. In conclusion, IPP was found to be significantly higher for 3 days following intraperitoneal catheter implantation, whichever intraperitoneal volume was used. This may be due to tense abdominal muscles from pain caused by the surgery or because of reduced intraperitoneal compliance at the beginning of PD.
在10例患者腹膜导管植入后的15天内（直至第15天）测量腹腔内静水压（IPP）。采用经直肠途径手术植入Tenckhoff导管。患者立即开始腹膜透析（PD），最初腹腔内液体量较小（500 mL），到第7天逐渐增加至2000 mL。1例患者因最初透析液渗漏，腹膜透析推迟至第7天。每天测量吸气和呼气时的IPP，零点固定在患者仰卧位时的腋中线。尽管最初使用的腹腔内液体量较小（500 mL），但植入后的前3天IPP比接下来的12天高得多（分别为17±3 cm水柱和11±1 cm水柱）。IPP在第3天前一直较高，尽管腹腔内液体量增加，但随后以线性方式逐渐下降直至第12天，然后保持稳定。总之，无论使用何种腹腔内液体量，腹腔导管植入后的3天内IPP均显著升高。这可能是由于手术引起的疼痛导致腹部肌肉紧张，或者是由于腹膜透析开始时腹腔顺应性降低。
