Varon J, Gonzalez J M, Sternbach G L, Bellairs E E
Pulmonary and Critical Care Medicine Section, Baylor College of Medicine, Houston, Texas 77030.
J Emerg Med. 1994 Mar-Apr;12(2):155-8. doi: 10.1016/0736-4679(94)90692-0.
Continuous cyclical peritoneal dialysis (CCPD) is a well-established, effective method of maintenance dialysis in patients with end-stage renal disease (ESRD). Massive hydrothorax producing hemodynamic compromise (tension hydrothorax) has been documented as an infrequent complication of both acute temporary peritoneal dialysis and continuous ambulatory peritoneal dialysis (CAPD). We recently saw a patient with massive hydrothorax as a consequence of CCPD. The etiology of this rare condition is thought to be that of a diaphragmatic defect with a one-way valve mechanism. Diagnosis is made by aspiration of the pleural fluid and estimation of pleural fluid glucose. Management of these patients requires pleural drainage and changing to hemodialysis if possible.
持续循环腹膜透析（CCPD）是终末期肾病（ESRD）患者维持性透析的一种成熟且有效的方法。大量胸腔积液导致血流动力学受损（张力性胸腔积液）已被记录为急性临时腹膜透析和持续非卧床腹膜透析（CAPD）的罕见并发症。我们最近接诊了一名因CCPD导致大量胸腔积液的患者。这种罕见病症的病因被认为是具有单向瓣膜机制的膈肌缺损。通过胸腔穿刺抽液及测定胸腔积液葡萄糖来进行诊断。这些患者的治疗需要胸腔引流，若可能则改为血液透析。
