CAPD技术的一个不寻常的并发症:吸取的教训

Muzamil Ahmed, Manjusha Yadla
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引用次数: 0

摘要

连续非卧床腹膜透析是血管通路失败患者肾替代治疗的推荐模式。手术置管和经皮肾科技术的并发症被很好地描述。并发症可能发生在手术过程中或手术后。在放置导管期间,已知会发生中空的内脏穿孔。术前指导患者使用泻药,排空膀胱,以避免膀胱或肠道损伤。膀胱穿孔是CAPD技术的罕见并发症之一。与CAPD中使用的软导管相比,刚性导管通常会发生这种情况。在此,我们报告一例膀胱穿孔在过程中放置经皮CAPD导尿。
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An unusual complication of CAPD technique: Lesson to be learnt
Continuous Ambulatory Peritoneal Dialysis is a recommended mode of renal replacement therapy in those with vascular access failures. Complications of Surgical placement of catheter and Percutaneous technique by Nephrologist are well described. Complications may occur during the procedure or after the procedure. During the placement of the catheter, hollow viscus perforation is known to occur. Patients are given instructions of using laxative , emptying bladder before surgery in order to avoid bladder or bowel injury. Bladder perforation is one of the rare complication of CAPD technique.It is expected to occur commonly with rigid catheters than the soft catheters used in CAPD. Herein we report a case of bladder perforation during the procedure of placement of percutaneous CAPD catheterization.
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