自動腹膜透析併發急性氣腹－病例報告

Acute Pneumoperitoneum in a Patient Undergoing Automated Pertitoneal Dialysis: A Case Report

李彥志(Yen-Chin Lee) ； 王家良(Chia-Liang Wang)

《北市醫學雜誌》 14卷1期 (2017/03) Pp. 91-95

https://doi.org/10.6200/TCMJ.2017.14.1.09

摘要

在直立的胸部X 光，氣腹通常表示內臟穿孔。但是在腹膜透析，由於導管提供空氣進入腹膜腔的附加端口，腹膜透析病人發生氣腹並不罕見（在以前的研究中，發生率從21 至33％）。我們報導一位62 歲的女性，她有糖尿病和末期腎病，使用自動腹膜透析。在2016 年7 月17 日晚上，當她執行自動腹膜透析，經歷了急性腹脹痛。她被送到了我們的急診醫學部。腹部電腦斷層顯示大量的氣腹。由於中空器官穿孔不能排除，進行緊急剖腹探查。手術結果並無腹腔內臟穿孔。因此，應為操作技術相關的氣腹。

關鍵字

氣腹 ； 腹膜透析

並列摘要

The pneumoperitoneum on the upright chest X-ray usually indicates a perforated viscus. As the peritoneal dialysis catheter provides an additional port of air entry into the peritoneal cavity, the incidence and clinical significance of pneumoperitoneum in peritoneal dialysis patients has been debated (a variable incidence from 21 to 33% has been reported in previous studies). We reported a 62-year-old female with diabetes mellitus and end-stage renal disease undergoing automatic peritoneal dialysis. In the night of 17 July, 2016, she experienced acute abdominal distension and pain during automatic peritoneal dialysis, and was admitted to our Emergency-Medicine Department. The abdominal computered tomography showed a massive pneumoperitoneum. Because a hollow organ perforation could not be excluded, an emergent exploratory laparotomy was performed. No intra-abdominal viscus perforation was noted. Therefore, technique-related pneumoperitoneum was impressed.

並列關鍵字

Pneumoperitoneum ； peritoneal dialysis