腹膜透析在急性肾损伤患者中的应用

Application of peritoneal dialysis in patients with acute kidney injury

急性肾损伤(AKI)的发生率很较高,其肾脏替代治疗方法有体外血液净化(EBP)及腹膜透析(PD),但临床常忽视PD对AKI的治疗作用。与血液透析相比,PD更简单、经济、无需抗凝,并能保护残余肾功能(RRF),尤其对儿童及血液动力学不稳定患者具有一定优势。近年一些研究显示PD具有治疗AKI的潜力。本文将综述近年PD在AKI中的应用。

Acute kidney injury （AKI） has a high incidence. The renal replacement therapy consists of extracorporeal blood purification and peritoneal dialysis which has often been overlooked in the past decades. Compared with hemodialysis,peritoneal dialysis is more convenient, cost-effective, free of anticoagulation, and preserving renal residual function,which has special advantages for children or patients with hemodynamic instability. Recent researches indicate that peritoneal dialysis is a potential therapy of AKI. The following article reviewes the advantages and disadvantages of the application of peritoneal dialysis in AKI.