透析相关性腹水

透析相关性腹水发生于维持性血液透析治疗的终末期肾病病人 ,其诊断需排除腹腔恶性肿瘤、肝硬化、心功能不全、血管病变及感染等病因。其发生机制有多种因素参与 ,主要与腹膜通透性增加和腹膜淋巴回流减少有关。腹水特点是蛋白含量高 ,细胞计数低 ,同时有低血清白蛋白。腹水回输、CAPD、腹水经颈内静脉分流术等治疗有一定疗效 ,但到目前为止唯一有效的方法是肾移植。透析相关性腹水预后不佳。

Ascites Related with Hemodialysis

The ascites related with hemodialysis happens when nephrotic patient is received maintained hemodialysis. The obtained diagnosis should get rid of abdomen malignant tumor, liver cirrhosis, cardiac dysfunction and infection. The mechanism affected by many factors might be permeability increase and lymph return reduction of peritoneum mainly. The characteristics of ascites may be high protein, low cell counts and serum albumin. The ascites back-infusion, CAPD and shunt to internal jugular vein are uncertain in the curative effective. The kidney transplantation should be only one effective method. The ascites related with hemodialysis might have bad prognosis.