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目的探讨腹膜透析相关腹膜炎的发生原因、相关因素及其治疗方法。方法对34例腹膜透析相关腹膜炎患者的临床资料进行回顾性分析,对腹膜炎发生原因进行分析;同时观察原发病与发生腹膜炎的关系;患者营养状况、血红蛋白(Hb)、血清蛋白(Alb)与发生腹膜炎的关系;细菌学培养结果及药敏。结果腹膜炎发生原因以患者操作不规范为主,糖尿病患者腹膜炎发生率明显高于非糖尿病患者,Hb<8 g/L、Alb<28 g/L均易引起腹膜炎,治疗时根据病原菌不同选择不同的治疗方案。结论积极预防、及时诊治是腹膜透析相关性腹膜炎控制的关键,应加强对患者无菌观念的灌输,要求患者严格按照规范操作。对于已经发生的腹膜炎一定要及时正确的处理,以免耽误治疗时机。
Objective To investigate the causes, related factors and treatment of peritoneal dialysis-related peritonitis. Methods The clinical data of 34 patients with peritoneal dialysis-related peritonitis were retrospectively analyzed to analyze the causes of peritonitis. The relationship between primary disease and peritonitis was also observed. The nutritional status, hemoglobin (Hb), serum albumin (Alb) and Peritonitis occurred; bacteriological culture results and drug sensitivity. Results The causes of peritonitis were mainly non-standard patients. The incidence of peritonitis in diabetic patients was significantly higher than that in non-diabetic patients. Hb <8 g / L and Alb <28 g / L were likely to cause peritonitis. According to different pathogenic bacteria, Treatment programs. Conclusions Active prevention and prompt diagnosis and treatment are the key points in the control of peritoneal dialysis-related peritonitis. Instillation of the concept of aseptic patients should be strengthened and the patients should be operated in strict accordance with the norms. For the peritonitis has occurred must be promptly handled correctly, so as not to delay the timing of treatment.