中国血液净化

中国血液净化 ›› 2025, Vol. 24 ›› Issue (02): 142-144.doi: 10.3969/j.issn.1671-4091.2025.02.009

• 综述 • 上一篇    下一篇

紧急开始腹膜透析的临床应用进展

董珊珊    杨 欢    杨春睿    李 婷    白彝华    何振坤   

  1. 650101 昆明，1昆明医科大学第二附属医院肾脏内科
  • 收稿日期:2024-05-13 修回日期:2024-07-11 出版日期:2025-02-12 发布日期:2025-02-12
  • 通讯作者: 何振坤 E-mail:32339403@qq.com
  • 基金资助:
    云南省中青年学术和技术带头人后备人才项目(202005AC160024)；兴滇英才支持计划(青年拔尖人才) (YNWR-QNBJ-2020-269)；昆医联合专项(202201AY070001-101)

Clinical application of urgent start peritoneal dialysis

DONG Shan-shan, YANG Huan, YANG Chun-rui, LI Ting, BAI Yi-hua, HE Zhen-kun   

  1. Department of Nephrology, The Second Affiliated Hospital of Kunming Medical University, Kunming 650101, China
  • Received:2024-05-13 Revised:2024-07-11 Online:2025-02-12 Published:2025-02-12
  • Contact: 650101 昆明，1昆明医科大学第二附属医院肾脏内科 E-mail:32339403@qq.com

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摘要： 腹膜透析(peritoneal dialysis，PD)是肾脏替代治疗的一种重要方式，无论是自然灾害后的紧急启动还是非严峻环境下的常规使用，PD都是治疗肾功能不全的重要手段之一。紧急开始腹膜透析(urgent start peritoneal dialysis，USPD)是指在置管后2周内开始进行PD。USPD的安全性和有效性与计划开始PD和血液透析(hemodialysis，HD)相当，是一种有效的、安全的、具有成本效益的肾脏替代治疗方法，具有广阔的应用前景。

关键词: 终末期肾病, 紧急开始腹膜透析, 血液透析

Abstract: Peritoneal dialysis (PD) is an important modality of renal replacement therapy for renal insufficiency either as a routine treatment in conventional settings or as an urgent and initial treatment after a natural disaster. Urgent start peritoneal dialysis (USPD) is defined as the initiation of PD within 2 weeks after PD tube placement. Most studies have shown that the safety and efficacy of USPD is comparable to those of planned start PD and hemodialysis, and that it is an effective, safe and cost-effective renal replacement method with a prospect of broad applications.

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

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