腹膜透析在急危重症救治中的应用

Application of peritoneal dialysis in the treatment of acute and critical illnesses

腹膜透析(PD)与血液透析(HD)是治疗原理不同的两种肾脏替代治疗技术,均可用于终末期肾病(ESRD)和急性肾损伤(AKI)的治疗。连续性肾脏替代治疗(CRRT)起源于HD,由于其可靠的生命支持作用,已成为重症救治领域必备的基本技术。与HD相比,PD在AKI及重症救治领域应用相对不足,但这一状况正在发生改变。大量研究显示,PD在AKI及严重顽固心力衰竭救治中具有独特的优势。腹腔复苏(DPR)技术是一种相对简单的PD治疗模式,可以有效纠正腹腔微循环障碍,已成为重症救治领域重要的复苏技术。PD技术兼具DPR和CRRT的功能,它在危重症救治领域中的作用令人期待。

Peritoneal dialysis(PD)and haemodialysis(HD)are two renal replacement therapies with different principles,both used in the treatment of end-stage renal disease(ESRD)and acute kidney injury(AKI).Continuous renal replacement therapy(CRRT),derived from HD,has become an essential technique in intensive care due to its reliable life-supporting capabilities.PD has been under-utilized compared to HD in the treatment of AKI and other critical illnesses,but this situation is changing significantly.Numerous studies have shown that PD offers unique advantages in the treatment of AKI and refractory heart failure.Direct peritoneal resuscitation(DPR),a relatively simple mode of PD,effectively corrects microcirculatory disturbances in the abdominal cavity and has become an important resuscitation technique in critical care.The PD technique,which integrates the functions of DPR and CRRT,has a promising potential in the field of critical care.