老年腹膜透析相关性腹膜炎的临床特点和防治进展

Clinical characteristics and preventive strategies for peritoneal dialysis-associated peritonitis in elderly patients

腹膜透析相关性腹膜炎是导致老年终末期肾病患者腹膜透析技术失败和死亡的主要原因。相比年轻患者,老年腹膜透析相关性腹膜炎患者一般状况、常见诱因和诊治等方面具有特殊性,针对性的干预措施可有效控制腹膜炎发病率、复发率和死亡率。本文综述了老年腹膜透析相关性腹膜炎的临床特点和预防策略,以求为临床实践提供理论参考。

Peritoneal dialysis-associated peritonitis is the main cause of failure of peritoneal dialysis and death in elderly patients with end-stage renal disease. Compared with the young patients, the elderly patients with peritoneal dialysis-associated peritonitis have specific characteristics in general condition, common causes, diagnosis and treatment. Targeted interventions can effectively control the incidence , recurrence rate, and mortality of peritonitis. This article reviews the clinical characteristics and preventive strategies for peritoneal dialysis-associated peritonitis in the elderly with a view of providing theoretical reference for clinical practice.