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[接受持续非卧床腹膜透析治疗患者腹腔内的邻苯二甲酸酯]

[Phthalic acid esters in the peritoneal cavity of patients treated with continuous ambulatory peritoneal dialysis].

作者信息

Sevela K, Gajdůsková V, Havlát F, Havránková V, Jarosová A

机构信息

II. vnitrní klinika LF MU a FN U sv. Anny, Brno.

出版信息

Vnitr Lek. 1996 Jun;42(6):404-7.

PMID:8928411
Abstract

A solution for peritoneal dialysis stored in bags made from material which does not contain diethylhexyl phthalate is significantly less contaminated with this plasticizer, as compared with a solution stored in bags made from PVC with diethylhexyl phthalate. The afferent tube which contains diethylhexyl phthalate in all sets investigated by the authors is not an important source of this plasticizer for the peritoneal solution. Contamination of the peritoneal solution with dibutyl phthalate added to colours used for print on the bags (inscription on the outside of the bag) was found in both types of bags (no significant differences were found). It may be thus assumed that dibutyl phthalate penetrates through the wall of both types of bags with the same intensity. This applies only, provided that the peritoneal solution is not contaminated with dibutyl phthatate during preparation, before it is filled into bags. After six hours instillation in the peritoneal cavity diethylhexyl phthalate and dibutyl phthalate was not detectable in the peritoneal solution (detection limit 0.5 microgram/l). They are completely retained and metabolized resp. in the patient's peritoneal cavity.

摘要

与储存在含有邻苯二甲酸二己酯的聚氯乙烯袋中的腹膜透析溶液相比,储存在不含邻苯二甲酸二己酯材料制成的袋中的腹膜透析溶液受这种增塑剂的污染明显更少。作者研究的所有装置中含有邻苯二甲酸二己酯的传入管并非腹膜透析液中这种增塑剂的重要来源。在两种类型的袋子中均发现,添加到袋子印刷颜色(袋子外部的标记)中的邻苯二甲酸二丁酯会污染腹膜透析液(未发现显著差异)。因此可以假定,邻苯二甲酸二丁酯以相同强度穿透两种类型袋子的袋壁。这仅适用于腹膜透析液在装入袋子之前的制备过程中未被邻苯二甲酸二丁酯污染的情况。在腹腔内灌注六小时后,腹膜透析液中未检测到邻苯二甲酸二己酯和邻苯二甲酸二丁酯(检测限为0.5微克/升)。它们分别在患者的腹腔中被完全保留和代谢。

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