摘要
技术失败是评价腹膜透析(PD)质量的关键指标之一,也是影响患者预后的重要因素。PD早期技术失败具有显著的临床意义。本文综述现阶段对PD早期技术失败的认识,介绍其定义、发生率、原因分类、危险因素和处理策略。
Peritoneal dialysis(PD) is an increasingly acceptable form of renal replacement therapy for patients with end stage renal disease.Technique failure is a key outcome in PD.The first year after starting PD is thought to be a vulnerable period for technique failure,which in turn contributes to poor patient retention.Improved understanding of the risk factors for technique failure during this period may help the development of targeted strategies to lower its incidence and improve both the utilization and utility of PD.The discussion herein will review the current available literature on the definition,incidence,causes and focus on the predictors of early PD technique failure.
作者
张志宏
俞雨生
ZHANG Zhihong;YU Yusheng(National Clinical Research Center of Kidney Diseases,Jinling Hospital,Nanjing University School of Medicine,Nanjing 210016,China)
出处
《肾脏病与透析肾移植杂志》
CAS
CSCD
北大核心
2019年第5期479-483,498,共6页
Chinese Journal of Nephrology,Dialysis & Transplantation
关键词
腹膜透析
早期技术失败
危险因素
处理策略
peritoneal dialysis
early technique failure
risk factors
treatment strategies