Pietrzak B, Panasiuk E, Przedlacki J, Wánkowicz Z
Postgraduate Military Medical Center, Dialysis Unit, Warszawa, Poland.
Perit Dial Int. 1993;13 Suppl 2:S70-3.
Peritoneoscintigraphy (PSG) was performed in 18 patients with ultrafiltration (UF) loss during peritoneal dialysis (PD). In 9 patients PSG was abnormal after peritonitis (PT), and transfer to hemodialysis (HD) was necessary. In three cases peritoneal catheter malfunction was suspected, and PSG provided information about the catheter's position and function. In two cases loss of UF was connected with extraperitoneal leakage of the dialysis solution (which was confirmed by PSG). In cases of UF loss and normal control, the peritoneal equilibration test (PET) was used, and its result was abnormal for glucose D/D0 (too high). PSG was useful for diagnosing the reasons for UF loss during PD.
对18例腹膜透析(PD)期间超滤(UF)丢失的患者进行了腹膜闪烁扫描(PSG)检查。9例患者在腹膜炎(PT)后PSG异常,需要转为血液透析(HD)。3例怀疑腹膜导管功能异常,PSG提供了有关导管位置和功能的信息。2例超滤丢失与透析液腹膜外渗漏有关(PSG已证实)。在超滤丢失且对照正常的病例中,采用了腹膜平衡试验(PET),其葡萄糖D/D0结果异常(过高)。PSG有助于诊断PD期间超滤丢失的原因。