中国血液净化

中国血液净化 ›› 2020, Vol. 19 ›› Issue (02): 124-126.doi: 10.3969/j.issn.1671-4091.2020.02.014

• 综述 • 上一篇    下一篇

自动化腹膜透析在维持性腹膜透析患者容量管理中的应用

罗佩婷1,张禹1,李忻阳1,陈洋洋1,赵巧1,苗里宁1,崔文鹏1   

  1. 1吉林大学第二医院肾病内科
  • 收稿日期:2019-09-06 修回日期:2019-12-03 出版日期:2020-02-20 发布日期:2020-02-12
  • 通讯作者: 崔文鹏 wenpengcui@163.com E-mail:wenpengcui@163.com
  • 基金资助:
    吉林省卫生厅课题(2017Q024，2016J052)

The application of automated peritoneal dialysis in the volume management of continuous peritoneal dialysis patients

  1. 1Department of Nephrology, The Second Hospital of Jilin University, Changchun130041, China
  • Received:2019-09-06 Revised:2019-12-03 Online:2020-02-20 Published:2020-02-12

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摘要： 【摘要】腹膜透析(peritoneal dialysis,PD)是一种重要的肾脏替代治疗方式。充分的液体清除是PD 治疗的重要靶目标，不充分的液体清除会导致容量超负荷，严重危及PD 患者的生命。然而，容量超负荷在PD 患者中仍十分常见。自动化腹膜透析(automated peritoneal dialysis,APD)是一种新型PD 模式，可以通过高频夜间短留腹获得充足的腹膜超滤量，从而改善容量超负荷PD 患者的预后。本文重点就PD 患者容量超负荷的流行病学、容量超负荷的危害以及APD 在PD 患者容量管理中的应用3 个方面做一个系统的综述。

关键词: 自动化腹膜透析, 容量超负荷

Abstract: 【Abstract】Peritoneal dialysis (PD) is a principal renal replacement therapy. Sufficient fluid removal is an important target of PD. Inadequate fluid removal can lead to volume overload, which may endanger live of the PD patients. However, volume overload is still very common in PD patients. Automated peritoneal dialysis (APD) is a new type of PD, which can achieve enough peritoneal ultrafiltration through frequent exchange and short dwells in night time, thus improving the prognosis of PD patients with volume overload. This paper is a systematic review focusing on the epidemiology of volume overload, the adverse effects of volume overload, and the application of APD in PD patients with volume overload.

Key words: Automated peritoneal dialysis, Volume overload

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