中国血液净化

中国血液净化 ›› 2020, Vol. 19 ›› Issue (07): 433-436.doi: 10.3969/j.issn.1671-4091.2020.07.001

• 综述与讲座 •    下一篇

紧急起始腹膜透析研究新进展

吕诗凡1,2,金海姣1,2,倪兆慧1,2   

  1. 1上海交通大学医学院附属仁济医院肾脏科
    2上海交通大学医学院临床研究中心
  • 收稿日期:2020-04-14 修回日期:2020-05-07 出版日期:2020-07-12 发布日期:2020-07-03
  • 通讯作者: 倪兆慧 profnizh@126.com E-mail:profnizh@126.com
  • 基金资助:

    上海交通大学医学院多中心临床研究项目(2018DLY05)；

    上海市卫生和计划生育委员会研究课题(201740037)；

    上海交通大学医学院附属仁济医院临床科研创新培育基金(PYIII-17-009)

Recent progress in urgent-start peritoneal dialysis

  1. 1Department of Nephrology, Renji Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai 200127, China; 2Clinical Research Center, Shanghai Jiao Tong University School of Medicine, Shanghai 200127, China
  • Received:2020-04-14 Revised:2020-05-07 Online:2020-07-12 Published:2020-07-03

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摘要： 【摘要】终末期肾病(end-stage renal disease,ESRD)是世界范围内的重要公共卫生问题，其起病隐匿，就诊时往往需要紧急起始透析。目前，采用中心静脉置管行血液透析(hemodialysis,HD)是最常用的紧急起始透析方式，但增加导管相关感染、菌血症、血栓形成等并发症的风险，且医疗费用较高。近年来，随着自动化腹膜透析(automated peritoneal dialysis,APD)技术的不断进步，紧急起始腹膜透析(peritoneal dialysis,PD)的关注度不断上升。多数研究认为，紧急起始PD 具有良好的安全性、疗效和卫生经济学效益，具有广阔的应用前景。

关键词: 终末期肾病, 腹膜透析, 紧急起始腹膜透析, 自动化腹膜透析

Abstract: 【Abstract】End stage renal disease (ESRD) has become an important public health problem worldwide. The insidious progress of ESRD often leads to the requirement of urgent-start dialysis when admitted to hospitals. Currently, hemodialysis with central vein catheterization is still the most commonly used method of urgent-start dialysis. However, this method has the risks of catheter- related infection, bacteremia, thrombosis and other complications with higher medical expenses. Due to the continuous progress of automated peritoneal dialysis technology, the interest to urgent-start peritoneal dialysis(PD) increases in recent years. Most studies show that urgent-start PD is safe, effective, favorable to health economics, and worthy of widely used.

Key words: End-stage renal disease, Peritoneal dialysis, Urgent-start peritoneal dialysis, Automated peritoneal dialysis

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