文章摘要

腹膜透析作为紧急开始肾脏替代治疗选择的进展

作者: 1刘璐璐
1 哈尔滨医科大学附属第二医院肾内科,哈尔滨 150000
通讯: 刘璐璐 Email: 1049300758@qq.com
DOI: 10.3978/j.issn.2095-6959.2021.09.036

摘要

慢性肾脏病是全球范围内公共卫生的重要问题,高达60%的患者在没有明确透析方案的情况下紧急开始透析。近年来,腹膜透析(peritoneal dialysis,PD)已成为一种紧急透析的新方法。世界各国的共同经验表明:紧急PD是一种高效、安全、经济的替代方法,其效果与计划性PD和紧急血液透析(hemodialysis,HD)相当。更重要的是,与使用中心静脉置管的紧急HD相比,紧急PD显著减少了导管相关性感染和透析相关机械并发症的发生率。
关键词: 慢性肾脏病;腹膜透析;血液透析;紧急启动

Progress of peritoneal dialysis as an urgent-start option on chronic renal replacement therapy

Authors: 1LIU Lulu
1 Department of Nephrology, Second Affiliated Hospital of Harbin Medical University, Harbin 150000, China

CorrespondingAuthor: LIU Lulu Email: 1049300758@qq.com

DOI: 10.3978/j.issn.2095-6959.2021.09.036

Abstract

Chronic kidney disease is a significant problem of public health worldwide, and up to 60% of patients start dialysis in an unplanned manner without a definitive dialysis access. In recent years, peritoneal dialysis (PD) has emerged as a novel method of urgent-start dialysis, and the relative researches in the world have showed that urgent-start PD can be an efficient, safe, and cost-effective alternative with comparable outcomes to the planned PD and urgent-start hemodialysis (HD). More importantly, the performance of urgent-start PD has significantly reduced the incidence rates of catheter-related bloodstream infections and dialysis-related mechanical complications compared with urgent-start HD using central venous catheter.
Keywords: chronic kidney disease; peritoneal dialysis; hemodialysis; urgent start