11 例腹膜透析导管穿入肠腔:病例系列。

IF 1.4 4区 医学 Q4 MEDICINE, RESEARCH & EXPERIMENTAL Journal of International Medical Research Pub Date : 2024-09-01 DOI:10.1177/03000605241260556
Xiaojie Xie, Fengmei Huang, Xiaofang Tong, Manqin Wang, Ruiqi Wu
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引用次数: 0

摘要

腹膜透析导管穿入肠腔是临床上罕见的并发症。在本回顾性临床病例系列中,描述了在 2019 年至 2023 年期间接受持续非卧床腹膜透析并入院治疗的 11 例尿毒症患者。患者年龄中位数为(61.91±11.33)岁。所有患者之前都经历过腹膜透析相关腹膜炎,并通过向腹腔注入敏感抗生素临床治愈。利用结肠镜确定穿透导管的位置,并在通过外部方法拔出导管后用钛夹闭合穿孔。在禁食 2-4 周后,11 名患者的穿孔全部愈合。本作者的经验表明,与传统的开腹手术相比,在结肠镜的引导下直接移除导管并夹闭穿孔口的操作简单,并发症少。
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11 cases of peritoneal dialysis catheter penetrating into the intestinal cavity: case series.

The penetration of a peritoneal dialysis catheter into the intestinal cavity is a clinically rare complication. In the present retrospective clinical case series, 11 patients with uraemia who received continuous ambulatory peritoneal dialysis and attended hospital between 2019 and 2023 are described. The median patient age was 61.91 ± 11.33 years. All patients had previously experienced peritoneal dialysis-related peritonitis and were clinically cured by infusing sensitive antibiotics into the abdominal cavity. Colonoscopy was utilised to locate the penetrating catheter and close the perforation with a titanium clip once the catheter had been removed via an external approach. Following a 2-4-week fast, the perforations healed in all 11 patients. The present authors' experience illustrates that directly removing the catheter and clamping the perforation opening under the guidance of colonoscopy is simple to operate with few complications compared with traditional open surgery.

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来源期刊
CiteScore
3.20
自引率
0.00%
发文量
555
审稿时长
1 months
期刊介绍: _Journal of International Medical Research_ is a leading international journal for rapid publication of original medical, pre-clinical and clinical research, reviews, preliminary and pilot studies on a page charge basis. As a service to authors, every article accepted by peer review will be given a full technical edit to make papers as accessible and readable to the international medical community as rapidly as possible. Once the technical edit queries have been answered to the satisfaction of the journal, the paper will be published and made available freely to everyone under a creative commons licence. Symposium proceedings, summaries of presentations or collections of medical, pre-clinical or clinical data on a specific topic are welcome for publication as supplements. Print ISSN: 0300-0605
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