长期腹膜透析伴糖尿病及包裹性腹膜硬化一例

A Case of Long-term Peritoneal Dialysis with Diabetes Mellitus and Encapsulated Peritoneal Sclerosis

目的回顾一例长期腹膜透析(peritoneal dialysis,PD)并同时患有糖尿病及包裹性腹膜硬化(encapsulating peritoneal sclerosis,EPS)的患者临床相关资料,提高对包裹性腹膜硬化的认识,并提出EPS与糖尿病之间可能存在相同作用机制的假设。方法通过对本例报道的临床资料整理及相关文献复习,分析包裹性腹膜硬化病因、临床特征及影像表现。结果维持性腹膜透析患者伴发糖尿病的情况下,小肠壁钙化、外周血管钙化较严重,易出现并发症,且预后不好。结论长期腹膜透析应警惕EPS的发生,EPS早期发现困难,预后差,尤其伴有糖尿病时,患者并发症严重,病死率较高。

Objective To review the clinically relevant data of a patient with long-term peritoneal dialysis(peritoneal dialysis,PD)with diabetes and encapsulating peritoneal sclerosis(encapsulating peritoneal sclerosis,EPS),improve the awareness of parcel peritoneal sclerosis,and propose the hypothesis that the same mechanism of action may exist between EPS and diabetes.Methods We analyze the etiology,clinical features and imaging performance of the clinical data and related literature.Results In maintenance peritoneal dialysis patients with diabetes,small intestinal wall calcification,peripheral vascular calcification,severe complications,and poor prognosis.Conclusion Long-term peritoneal dialysis should be alert to the occurrence of EPS,difficulties in the early detection of EPS,poor prognosis,especially with diabetes,patients with serious complications and high fatality rate.