1例腹膜透析患者并发迟发性后腹膜渗漏的护理

总结1例腹膜透析患者并发迟发性后腹膜渗漏的护理过程。护理要点：多种方式做好腹膜透析患者居家治疗期间的远程护理管理；及时发现透析液渗漏的相关征象，及时有效对症治疗；做好透析液渗漏发生后患者及家属的心理护理，教会其腹膜透析管路居家维护方法，协助做好治疗过渡；给予针对性、持续性的健康指导，积极预防迟发性后腹膜渗漏的发生。停止腹膜透析8周后，患者恢复持续不卧床腹膜透析，未再发生渗漏。

Nursing care of a patient with peritoneal dialysis complicated with late posterior peritoneal leakage

To summarize the diagnosis,treatment and nursing care of a patient with peritoneal dialysis complicated with late posterior peritoneal leakage. Nursing key points：multiple ways to do a good peritoneal dialysis patients during home treatment of remote nursing management;timely detection of dialysis fluid leakage related signs,timely and effective symptomatic treatment;providing psychological care for patients and their families after dialysis fluid leakage,teaching home maintenance methods of peritoneal dialysis pipelines,and assisting in the transition of treatment;providing targeted and continuous health guidance,and actively preventing the occurrence of late peritoneal leakage. After 8 weeks,the patient returned to continuous ambulatory peritoneal dialysis with no further leakage.