腹膜透析病人退出原因分析

Analysis on the Causes of Withdrawal for Peritoneal Dialysis Patients

目的探讨腹膜透析患者退出透析的原因。方法分析2012年2月至2017年1月我科40例持续性不卧床腹膜透析(CAPD)患者的临床资料,统计退出腹膜透析的患者例数并分析其原因。结果 40例患者中共有10例患者退出CAPD,其中以腹膜炎为主要退出原因,其次因素分别为肾移植、超滤衰竭、死亡以及胸膈瘘。退出患者中5例(50%)转血液透析,2例(20%)死于心脑血管疾病,2例(20%)转肾移植,1例(10%)因胸膈瘘退出。结论腹膜炎是CAPD退出腹膜透析的最主要原因。应在腹透过程中注意预防腹透感染的发生,尽早控制腹膜炎的发展。

Objective To discuss the causes of withdrawal for peritoneal dialysis patients. Methods The clinical data of 40 cases of patients with continuous ambulatory peritoneal dialysis（CAPD） admitted to our hospi- tal from February 2012 to January 2017 were analyzed so as to make statistics on withdrawal number of peri- toneal dialysis patients and analyzed the causes. Results Among 40 cases, 10 cases of patients were withdrawn from the CAPD, among which, peritonitis is the main reason for withdrawal, followed by renal transplantation, ultrafiltration failure, inadequate dialysis, death, and thoracic fistula respectively. Among withdrawal patients, five patients were transferred to hemodialysis（ n = 50 % ）, two cases were died of cardiovascular and cerebrovascu- lar disease（n = 20% ）, 2 patients were transferred to renal transplantation（ n = 20% ）, and the other one case was withdrawn because of thoracic fistula（10 % ）. Conclusion Peritonitis is the main cause for the withdrawal of CAPD. Attention should be paid to the prevention on the occurrence of CAPD infection in the process of CAPD, trying to control the development of peritonitis as early as possible.