中国血液净化

中国血液净化 ›› 2018, Vol. 17 ›› Issue (08): 508-513.doi: 10.3969/j.issn.1671-4091.2018.08.002

• 专题 • 上一篇    下一篇

腹膜透析相关腹膜炎的诊治进展

赵慧萍   

  1. 北京大学人民医院肾内科
  • 收稿日期:2018-03-22 修回日期:2018-03-06 出版日期:2018-08-12 发布日期:2018-08-12
  • 通讯作者: 赵慧萍 huipingzhao2009@163.com E-mail:huipingzhao2009@163.com

Recent advances in the diagnosis and treatment of peritoneal dialysis-related peritonitis

  • Received:2018-03-22 Revised:2018-03-06 Online:2018-08-12 Published:2018-08-12

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摘要： 【摘要】腹膜透析(peritoneal dialysis，PD)是终末期肾脏病(end stage renal disease，ESRD)患者的主要肾替代治疗方式，腹膜炎是PD 患者常见且严重的并发症，是PD 技术失败、导致PD 患者转至长期血液透析甚至患者死亡的主要原因。及时正确规范的诊断与治疗有助于腹膜炎的治愈，患者腹膜功能的恢复。本文基于2016 年国际腹膜透析协会(international society for peritoneal dialysis，ISPD)更新的腹膜炎防治指南及近期文献，对PD相关腹膜炎的诊断和治疗进展做一介绍。

关键词: 腹膜透析, 腹膜炎, 诊断, 治疗

Abstract: 【Abstract】Peritoneal dialysis (PD) is one of the renal replacement therapies for patients with end-stage renal disease (ESRD). Peritonitis is a common and serious complication and a major cause for PD failure, transfer to hemodialysis, and death in PD patients. Accurate diagnosis and treatment of peritonitis in time is essential to cure this complication and to recover PD treatment for the patients. This article introduces the recent advances in diagnosis and treatment of PD-related peritonitis, based on the latest Peritonitis Recommendations on Prevention and Treatment Updated in 2016 by the International Association for Peritoneal Dialysis (ISPD) and recent literature.

Key words: Peritoneal Dialysis, Peritonitis, Diagnosis, Treatment