腹膜透析患者容量负荷的评估与控制

Volume status assessment and control in peritoneal dialysis patients

心血管并发症是腹膜透析(PD)患者退出治疗的主要原因之一,本中心资料显示退出PD的患者中约40%因心血管并发症。容量负荷过重直接导致高血压、充血性心力衰竭等心血管并发症,并影响PD患者的预后及死亡率。本文就PD患者高容量负荷相关的病理生理机制、容量状态的判定方法及控制容量负荷的有效措施作一简述。

Cardiovascular complication is an important reason of dropping out of peritoneal dialysis （PD） , about 40% of those patients according to data from our centre. The volume overload is usually related to hypertension and congestive heart failure, which may contribute to the high cardiovascular mortality and adverse outcomes. In this article, the pathophysiological mechanisms, assessment methods, control measures of volume state in PD patients are reviewed.