摘要
目的:总结腹膜透析患者合并顽固性呃逆的原因及临床处理。方法:分析1999年1月至2009年6月腹膜透析合并顽固性呃逆患者43例的临床资料。结果:腹膜透析患者合并顽固性呃逆43例的原因分别为:腹膜炎19例(占44.2%)、糖尿病性胃肠神经病变8例(18.6%)、电解质紊乱6例(14.0%)、透析不充分6例(14.09%)、器械原因2例(4.7%)、腹透液低温和药物因素各1例(分别占2.3%)。结论:腹膜透析患者合并顽固性呃逆的常见原因主要是腹膜透析相关感染、糖尿病胃肠神经病变、电解质紊乱及透析不充分;对腹膜透析合并顽固性呃逆患者要在明确病因的基础上采取针对性处理对策。
Objective:to analyze and summarize the causes and treatments of intractable hiccup in uremic patients undergoing peritoneal dialysis.Methods:We retrospectively investigated and analyzed the causes and treatments of intractable hiccup in 43 uremic patients undergoing peritoneal dialysis in our hospital from 1999 to 2009.Results:The causes of intractable hiccup in 43 uremic patients undergoing peritoneal dialysis were peritonitis 19 cases(44.2%),gastrointestinal neuropathy caused by diabetes 8 cases(18.6%),electrolyte disturbances 6 cases(14.0%),dialysis insufficiency 6 cases (14.0%),mechanical complications 2 cases(4.7%),peritoneal dialysis fluid at low temperature 1 case(2.3%) and drug factors 1 case(2.3%).Conclusions:The main causes of intractable hiccup in 43 uremic patients undergoing peritoneal dialysis were related to peritonitis,gastrointestinal neuropathy caused by diabetes,electrolyte disturbances and dialysis insufficiency.
关键词
腹膜透析
顽固性呃逆
并发症
Peritoneal dialysis
Intractable hiccup
Complications
