中国血液净化

›› 2009, Vol. 8 ›› Issue (7): 401-403.

• 血液净化相关产品与技术 • 上一篇    下一篇

尿毒症合并肝硬化门脉高压患者的腹腔置管术

韩庆烽 王继伟 付 纲   

  1. 北京大学第三医院肾脏内科
  • 收稿日期:1900-01-01 修回日期:1900-01-01 出版日期:2009-01-01 发布日期:2009-01-01

Catheterization in uremia patients combined with hepatic cirrhosis and portal hypertension.

AN Qingfeng, WANG Jiwei, Fu Gang   

  • Received:1900-01-01 Revised:1900-01-01 Online:2009-01-01 Published:2009-01-01

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摘要：

【摘要】目的 探讨尿毒症合并肝硬化门脉高压患者腹腔置管术的手术方式及术后腹腔积液的处理方式。方法 6例尿毒症合并肝硬化门脉高压患者行腹腔置管术，术中采用“荷包缝合-切开腹腔-植入腹膜透析管-关闭腹腔”的手术方式，术后控制腹膜透析液入量和出量并观察腹腔积液量的变化情况。结果 6例患者在手术中腹腔积液丢失量为100ml～600ml，术中生命体征平稳。术后5～15天达到腹腔积液达到控制，且未出现其他合并症。结论 尿毒症合并肝硬化门脉高压患者行腹腔置管术是可行的。

关键词: 腹膜透析, 腹腔置管术, 肝硬化, 门脉高压

Abstract:

【Abstract】Objective To discuss the method of catheterization and handling process in peroperative period in the uremia patients combined with hepatic cirrhosis and portal hypertension. Methods 6 uremia and hepatic cirrhosis and portal hypertension patients had been involved. They had their catheterization by this sequence in the operation: purse-string suture - discussion of peritoneal cavity - implantation of catheter close peritoneal cavity. After the operations, the input and output volume of peritoneal dialysate had been controlled, and the limits of ascites had been evaluated. Results The loss of ascites in the operation were only 100ml to 600ml in these patients, and their vital sign were stable. Their ascites had been controlled during 5 to 15 days, and no more complication had been found. Conclusion It is feasible for catheterization to uremia patients combined with hepatic cirrhosis and portal hypertension.

Key words: Peritoneal Catheterization, Hepatic cirrhosis, Portal hypertension