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[腹膜腔的解剖和生理特征与腹膜透析的关系]

[Anatomic and physiologic characteristics of the peritoneal cavity with reference to peritoneal dialysis].

作者信息

Cukuranović R, Raicević R, Kostić S, Veljković S, Aracki S, Stojanović M, Stefanović V

机构信息

Institute of Nephrology, University School of Medicine, Nish.

出版信息

Srp Arh Celok Lek. 1996;124 Suppl 1:142-4.

PMID:9102881
Abstract

Most common complications of peritoneal dialysis are those related to anatomic defect of the abdominal wall and peritoneum. The aim of this investigation was to examine the frequency of congenital and acquired wall defects in patients on CAPD treatment causing complications. Fifty patients, 32 women and 18 men, on CAPD treatment for more than two years, were investigated. Most common was a defect in the anterior-lateral abdominal wall predisposing to hernias in 14% of patients. Umbilical and pericatheteral hernias were more common than other, with a mean time of 21 months for the appearance. Persistence of vaginal process of peritoneum related to scrotal oedema was documented in 4% of patients. Communication of peritoneal cavity with the abdominal ostium of tuba uterina was found not to be an important factor for peritonitis.

摘要

腹膜透析最常见的并发症是那些与腹壁和腹膜的解剖缺陷相关的并发症。本研究的目的是检查接受持续性非卧床腹膜透析(CAPD)治疗且出现并发症的患者中先天性和后天性腹壁缺陷的发生率。对50例接受CAPD治疗超过两年的患者进行了调查,其中女性32例,男性18例。最常见的是腹壁前外侧缺陷,14%的患者易发生疝气。脐疝和导管周围疝比其他类型更常见,出现的平均时间为21个月。4%的患者记录到与阴囊水肿相关的腹膜鞘突持续存在。腹膜腔与输卵管腹腔口的连通并非腹膜炎的重要因素。

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