腹膜透析治疗尿毒症肺水肿的评价

目的：探讨尿毒症肺水肿患者的临床特征及腹膜透析对其治疗的评价。方法：对本院本科78例尿毒症肺水肿患者的临床表现、影像学改变和临床生化指标进行分析，并采用腹膜透析对其治疗的价值。结果：尿毒症肺水肿患者其原发病以慢性肾炎最为多见，临床表现多样化，轻重不一致，X线表现以肺淤血、间质性肺水肿为最常见，腹膜透析组与非透析治疗组相比较，病死率差异有统计学意义（P〈0．01）。结论：腹膜透析是有效治疗尿毒症肺水肿的方法，能明显减轻症状，减少病死率。

Peritoneal dialysis for treatment of uremia-related pulmonary edema

Objective： To investigate the clinical manifestations of and the role of peritoneal dialysis as a the treatment for patients with this condition. Methods：The clinical manifestations, imaging data and biochemical findings in 78 patients with uremia-related pulmonary edema registered to our department were analyzed. The therapeutic value of peritoneal dialysis in patients was evaluated. Results：Chronic nephritis was the most common etiology to uremia-related pulmonary edema among these patients. The patients showed a variety of clinical manifestations and a wide range of severity. X-ray findings most frequently included pulmonary congestion and interstitial edema. There was a significant difference in mortality between patients treated with and without peritoneal dialysis（ P 〈 0.01 ）. Conclusion：Peritoneal dialysis as a treatment of uremia-related pulmonary edema is effective for remarkable svmotom relief and reduction of mortality.