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心血管疾病并发症严重影响腹膜透析(PD)患者的远期生存率,是其死亡的主要原因之一。国际腹膜透析协会(ISPD)于2015年7月发布的成年腹膜透析患者心血管及代谢管理指南,重点关注PD的证据分析,同时补充了改善全球肾脏病预后组织(KDIGO)指南中未涉及的内容。本文对该指南中心血管危险因素的评估和管理、心血管并发症的管理两部分内容进行解读,旨在为临床实践提供参考。
Cardiovascular complications seriously affect the long-term survival of patients with peritoneal dialysis (PD), is one of the main causes of death. The International Association of Peritoneal Dialysis (ISPD) guidelines for cardiovascular and metabolic management in adult peritoneal dialysis patients published in July 2015 focus on the evidence of PD and complement those not covered in the guidelines for improving global prognosis of kidney disease (KDIGO) . This article interprets the two parts of the guideline assessment and management of cardiovascular risk factors and the management of cardiovascular complications, which aims to provide a reference for clinical practice.