床边置管腹膜透析治疗特殊人群急性肾衰竭研究

Application of Peritoneal Dialysis by Bedside Intubation for Particular Patients with Acute Renal Failure

目的探讨床边置管腹膜透析在某些特殊人群急性肾衰竭中的应用价值。方法对三明市第二医院应用床边置管腹膜透析治疗的29例该类急性肾衰竭患者进行回顾性分析。结果患者经过间歇性腹膜透析后,有效20例:治愈16例,好转4例,有效率69%,血清肌酐(Scr)、尿素氮(BUN)、二氧化碳(CO2)治疗前后比较差异有统计学意义(P<0.05);无效9例:自动出院4例,死亡5例;有效与无效患者之间合并脏器损害数目、起病到开始腹膜透析时间存在显著差异(P<0.05);IPD治疗无一例严重并发症发生。结论床边置管腹膜透析是治疗该类急性肾衰竭的一项安全有效的措施,它不需要特殊仪器及设备,操作简单,在基层医疗单位应用前景广阔。

Objective To evaluate the application value of peritoneal dialysis（PD） by bedside intubation for particular patients with acute renal failure（ARF）.Methods The clinical data of 29 ARF patients received PD by bedside intubation were studied retrospectively. Results After intermittent peritoneal dialysis （ IPD）, 16 cases got recovery ,4 cases were improved, and the effective rate was 69%. The value of serum creatinine （ Scr）, blood urea nitrogen （BUN） and carbon dioxide （ CO2 ） were significant different before and after the treatment（ P 〈 0.05 ） ;5 cases died and 4 cases discharged because of insufficient money. The numbers of involved organs and the time before IPD were significantly different between the effective cases and ineffective cases （ P 〈 0. 05）. Conclusion PD by bedside intubation was an effective and safe method for such ARF with advantages of simple technique and inexpensive machine, and easily popularized in primary medical units.