Bernardini J
University of Pittsburgh Medical Center, Pennsylvania 15213-2500, USA.
Perit Dial Int. 1996;16 Suppl 1:S468-71.
A functional peritoneal dialysis catheter is essential for continuous ambulatory peritoneal dialysis to be an effective form of dialysis. The most common mechanical problems that hinder adequate function include obstruction, leaks, hernias, hemoperitoneum, and pain. The reported incidence of mechanical problems varies from 12% to 73%. Symptoms, diagnostic tests, risk factors, and treatment strategies are reviewed. Surgical intervention and catheter replacement are often required to resolve mechanical problems. Avoidance of mechanical problems reduces the risk of interruptions in peritoneal dialysis therapy.
功能性腹膜透析导管对于持续非卧床腹膜透析成为一种有效的透析形式至关重要。阻碍充分功能的最常见机械问题包括梗阻、渗漏、疝、腹腔内出血和疼痛。报道的机械问题发生率从12%到73%不等。本文综述了其症状、诊断测试、危险因素和治疗策略。解决机械问题通常需要手术干预和更换导管。避免机械问题可降低腹膜透析治疗中断的风险。
