2013年12月21日星期六

What are the indications for peritoneal dialysis

Peritoneal dialysis method also often used clinically , but not every patient will adapt. So peritoneal dialysis indications , what does ? Peritoneal dialysis is one of the two dialysis methods , and the other one is hemodialysis. Each method has its own dialysis indications , not arbitrary adopted . That 's what the indications of peritoneal dialysis is it ? Let us introduce specific .
1 , acute renal failure : in establishing the diagnosis of ARF 2 to 3 days , one of the following occurs , should be Dialysis : ① obvious uremic symptoms, such as nausea , vomiting, and neuropsychiatric symptoms ; ② performance significantly Shuinazhuliu or signs of heart failure ; ③ BUN ≥ 28.6mmol / L (80mg/dl), serum creatinine ≥ 530.4mmol / L (6mg/dl); ④ severe electrolyte imbalance, such as potassium ≥ 6.5mmol / L.
2 , chronic renal failure : ① peritoneal dialysis indications of uremia : When Ccr ≤ 10mL/min, or Scr ≥ 707.2μmol / L (8mg/dl), and accompanied by the following circumstances :. A significant . b obvious Shuinazhuliu ; ; uremic symptoms c severe electrolyte imbalance ;. d severe metabolic acidosis (CO2-CP ≤ 6.74mmol / L).. ② after renal transplantation . ③ several special circumstances CRF: a diabetic nephropathy ; b pediatric patients ; c elderly patients . ..
3, the acute toxicity of drugs and poisons : peritoneal dialysis has the following properties to remove drugs and toxins : ① dialysability : molecular weight of less than 5000 Daltons ; ② non- binding form in the blood. Peritoneal dialysis compared with hemodialysis and hemoperfusion treatment of poisoning effect is weak, in the absence of these two devices , you can try .
4 , other peritoneal dialysis indications: water and electrolyte disorders, acid-base balance disorders , acute pancreatitis , hyperthyroidism , hepatic coma , psoriasis. 
Through the above description , we should be on peritoneal dialysis indications which this problem has a basic understanding . Expert Global Network Health Channel reminder suitability peritoneal dialysis patients , the disease must be determined after a comprehensive diagnosis by experts , so as to ensure safety.

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