Borghol M, Alrabeeah A
Department of Surgery, King Faisal Specialist Hospital and Research Centre, Riyadh, Saudi Arabia.
J Pediatr Surg. 1996 Mar;31(3):427-9. doi: 10.1016/s0022-3468(96)90752-6.
Continuous ambulatory peritoneal dialysis (CAPD) has revolutionized the management of renal failure in children. However, CAPD catheter malfunction is not uncommon, the main complications being catheter-related infection and catheter-related obstruction. Herein the authors report both of the above complications, attributable to unique and previously unreported causes. One patient had appendicitis and peritonitis secondary to catheter entrapment of the appendix; the other had an obstructed catheter secondary to entrapment of the right fallopian tube within its lumen. To avoid potentially serious complications, early exploration of malfunctioning catheters is recommended.
持续非卧床腹膜透析（CAPD）彻底改变了儿童肾衰竭的治疗方式。然而，CAPD导管故障并不罕见，主要并发症是导管相关感染和导管相关梗阻。在此，作者报告了上述两种并发症，其病因独特且此前未被报道。一名患者因阑尾被导管卡住继发阑尾炎和腹膜炎；另一名患者因右侧输卵管被困在导管腔内继发导管梗阻。为避免潜在的严重并发症，建议对故障导管尽早进行探查。
