緊急腹膜透析的介紹

Introduction of Urgent-Start Peritoneal Dialysis

陳佳晉(Jia-Jin Chen) ； 林展宇(Chan-Yu Lin) ； 張明揚(Ming-Yang Chang) ； 田亞中(Ya-Chung Tian)

《腎臟與透析》 31卷1期 (2019/03) Pp. 1-4

https://doi.org/10.6340/KD.201903_31(1).0001

摘要

傳統腹膜透析在管路放置後會等待2～4週後才始灌注。但是，近年因手術進步、低灌注量與自動腹膜透析的使用，緊急腹膜透析可用於非預期性開始的腎臟替代療法。與非預期性血液透析比較，非預期性腹膜透析有較低的菌血症，相等甚至是較好的存活率。與傳統的等待時間比較，緊急腹膜透析不增加感染風險，但部分研究顯示可能增加輕微滲漏，或可能增加需手術再介入的機會。整體而言，緊急腹膜透析是一種在非計畫性開始透析治療時安全及替代的選擇。

關鍵字

非預期腎臟替代治療 ； 緊急腹膜透析 ； 等待時間

並列摘要

Traditionally, peritoneal dialysis (PD) consists of PD catheter placement and initiation training after a 2-4 weeks interval. Recently, with the advancement of surgical technic, low infusion volume, and automated dialysis prescription, urgent-start PD could be used for unplanned renal replacement therapy. In comparison with urgent-start hemodialysis, urgent-start PD has less risk for bacteremia and shorter hospitalization. The possible complication of urgent-start PD included minor leakage and possible need for surgical intervention. The infection risk is not statically different between standard break and in urgent-start PD group. In conclusion, urgent-start PD seems to be a safe and an alternative to unplanned hemodialysis for patient with end-stage renal disease.

並列關鍵字

unplanned renal replacement therapy ； urgent-start peritoneal dialysis ； break-in period