中国血液净化

中国血液净化 ›› 2019, Vol. 18 ›› Issue (03): 153-156.doi: 10.3969/j.issn.1671-4091.2019.03.003

• 专题与讲座 • 上一篇    下一篇

腹膜透析在成人急性肾损伤中的应用

吴晶晶1, 邢昌赢1   

  1. 1. 江苏省人民医院（南京医科大学第一附属医院）肾内科
  • 收稿日期:2018-11-26 修回日期:2019-01-03 出版日期:2019-03-12 发布日期:2019-03-05
  • 通讯作者: 邢昌赢 cyxing62@126.com E-mail:cyxing62@126.com

Application of peritoneal dialysis in adult acute kidney injury

  • Received:2018-11-26 Revised:2019-01-03 Online:2019-03-12 Published:2019-03-05

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摘要： 【摘要】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。

关键词: 腹膜透析, 急性肾损伤, 透析时机, 透析剂量

Abstract: 【Abstract】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.

Key words: peritoneal dialysis, acute kidney injury, dialysis timing, dialysis dose