高龄肾功能衰竭患者腹膜透析疗效分析

目的 评价腹膜透析(PD)在高龄肾功能衰竭患者治疗中的作用。方法 观察35例高龄肾衰患者PD治疗前及PD治疗后肾功能、肝功能、血红蛋白等评价指标的动态变化,并发症的发生情况及生存率的变化。结果 大多数高龄患者在行腹透治疗后血浆白蛋白、血清前白蛋白和血红蛋白等全身营养状况指标均较治疗前有明显降低,常见并发症有:低血钾、腹膜炎、呼吸道感染、心力衰竭、皮肤和肢体末端溃疡和腹壁疝。结论 腹膜透析治疗并非是高龄肾衰患者最合适的治疗手段,应综合考虑患者病情,选择适合的透析方式。

Peritoneal dialysis for the treatment of chronic renal failure in elderly old patients

Objective To evaluate the effects of peritoneal dialysis for chronic renal failure of very old patients. Method? The changes of Hb, renal function and hepatic function of thirty - five patients were com-pared after peritoneal dialysis. Results Nutritional standards, such as serum albumin, prealbumin, Hb and potassium were decreased in great numbers of elderly patients. Abdominal cavity infection, cardiac failure, pneumonic infection, hypopotassium, skin and limb extremities and abdominal hernia are most complications caused by peritoneal dialysis. Gondusions Peritoneal dialysis is not especially suitable to elderly patients for continuous treatment. It is appropriate for elderly patients to choose most safe and effective method.