持续不卧床腹膜透析腹膜炎40例总结

40 cases peritoneal didysis in CAPD patient

目的和方法 :本组患者共透析 1 1 94个病人月 ,2 5例发生腹膜炎 4 0例次 ,平均 2 9.95个病人月发生 1次。男 1 7例 ,女 8例 ,平均年龄为 (5 6 .4 8± 1 6 .5 )岁。细菌培养阳性 2 1例 ,真菌 5例。病原菌检出率 6 5 %。其中革兰阳性球菌 1 1例次 ,革兰阴性杆菌 1 0例次。结果与结论 :普通细菌感染 35例次 ,死亡 3例 ,治愈 32例次 ,治愈率为 91 %。真菌感染 5例 ,死亡 3例 ,放弃治疗 1例 ,拔管改做血液透析 1例。腹膜炎总发生率在逐步下降 ,但发病率仍较高。革兰阴性杆菌感染机率升高。真菌性腹膜炎治疗效果仍差 。

Objective and method:There were 40 peritonitis in 25 patients (1/29.95 patient-months) among 1194 patient-months, 17 male, 8 female. The mean age of the population is 56.48 years. In these 40 infections, 26 were positive with microbial culture, 11 were Gram +, 10 were Gram -, 5 had fungi.Result and Conclusion: 35 bacteria infections were treated with cephazolin or cepharadin plus gentamycine or vacomycine plus amikacine, and 32 were healed, 3 died. Among fungus infections, 3 were dead, 1 avoided treatment, and 1 switched to hemodialysis. Peritonitis is still an important complication of peritoneal dialysis, although the incidence became lower. The incidence of Gram- bacteria infection increased. Fungus infection had very bad outcome, early draw out of the tube is recommended.