腹膜透析在成人急性肾损伤中的应用

Application of peritoneal dialysis in adult acute kidney injury

急性肾损伤(acute kidney injury,AKI)是临床常见的急危重症之一,肾替代治疗是救治AKI患者的重要措施,腹膜透析(peritoneal dialysis,PD)在AKI中的应用常被忽视。PD具有简单易行、无需特殊设备、无需抗凝、对血流动力学影响小等优势,已被国际腹膜透析学会推荐作为AKI治疗理想的肾替代方式之一。本文就PD在成人AKI中应用的现状、优势、急诊透析时机、通路和透析液、透析剂量、并发症等方面的研究进展作一综述。

Acute kidney injury(AKI)is one of the most common critical illnesses.Renal replacement therapy is an important measure for the treatment of AKI patients.The application of peritoneal dialysis(PD)in AKI is often overlooked.PD has the advantages of easy operation,no need for special equipment and anticoagulation,and little influence on hemodynamics.It has been recommended by the International Society of Peritoneal Dialysis(ISPD)as one of the ideal renal replacement methods for AKI treatment.This article reviews the current status,advantages,appropriate time for emergency dialysis,access and dialysate,dialysis dose and complications of PD in adult AKI.