腹膜透析尿毒症病人接受腎臟切除術時持續進行腹膜透析的可能性
葉進仲、陳汶吉、張兆祥、吳錫金
中國醫藥大學附設醫院 泌尿部
Is it possible for peritoneal dialysis uremic patients who continue to do PD at peri-nephrectomy duration?
Chin-Chung Yeh, Wen-Chi Chen, Chang-Pao Chang, Hsi-Chin Wu
Department of Urology, China Medical University Hospital, Taichung, Taiwan
Purpose: To evaluate the possibility for uremic patients who are need to do abdominal surgery did not have hemodialysis during the perioperative duration. The group of patients just did the dialysis as usual with CAPD.
Materials and methods: During the duration between 2003 and 2014, we had finished 8 times of NUE or nephrectomies. Patient did go through the perioperative duration, just having CAPD, did not have HD. Did the volume decreased in each PD instillation, combined the frequency of dialysis increased to compensate the daily dialysis fluid volume.
Results: We succeeded to experience 8 times of bigger abdominal surgery for uremic patients who had CAPD regularly during the perioperative duration. They did not quit their PD to do HD.
Conclusion: To be continue to do CAPD and not to shift to do HD for uremia patients who had a nephrectomy or bigger abdominal surgery should be considerred as a possible choice.