Clinical survey on 5 peritoneal dialysis cases complicated with chest abdominal fistula
MA Hualin
ZHANG Xinzhou
WANG Kang
GUO Baochun
Abstract：Objective To investigate the clinical manifestations , diagnostic methods and treatment of peritoneal dial-ysis patients with thoracoabdominal fistula .Methods From 2011 January to 2014 December, 5 patients with peritoneal dialy-sis complicated with thoracic abdominal fistula were enrolled , the clinical manifestations , diagnostic methods and treatment and prognosis of them was analyzed .Results These 5 patients had chest tightness , shortness of breath; imaging revealed a medium to large amount of right pleural effusion; pleural effusion is transparent and clear , protein qualitative test was nega-tive, pleural effusion protein quantitative <25 g/L, glucose >40 mmol/L, methylene blue test is positive , DPTA test re-vealed positive result .After the diagnosis , by pleural effusion drainage , suspended extraction of continuous ambulatory perito-neal dialysis ,4 cases of patients eventually changed to hemodialysis therapy , 1 cases changed to intermittent peritoneal dialy-sis, after fistula healing, peritoneal dialysis were conti-nued.Conclusion Thoraco-abdominal fistula has the clinical features of intrathoracic negative pressure disappeared , with methylene blue test and radionuclide scan combined with pleural effusion ' s biochemical component analysis , the diagnosis of thoracic and abdominal fistula revealed high sensitivity , less adverse reac-tion.After occurred with thoraco-abdominal fistula , most patients changed to maintenance hemodialysis , peritoneal dialysis treatment is difficult to maintain .
Keywords：Peritoneal dialysisThoraco-abdominal fistulaClinical observation
Publication Date：2015-01-01
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：3( 39-41 )