中华护理杂志 ›› 2022, Vol. 57 ›› Issue (17): 2145-2148.DOI: 10.3761/j.issn.0254-1769.2022.17.016

• 临床实践 • 上一篇    下一篇

1例腹膜透析患者并发迟发性后腹膜渗漏的护理

王敏(), 张春霞, 傅淑霞, 邢玲玲, 吴晓磊, 卢素玉, 裴华颖()   

  1. 050000 石家庄市 河北医科大学第二医院肾内科
  • 收稿日期:2022-01-04 出版日期:2022-09-10 发布日期:2022-09-07
  • 通讯作者: 裴华颖,E-mail: huayingpei@163.com
  • 作者简介:王敏:女,本科,主管护师,E-mail: wangminsjz@sina.com
  • 基金资助:
    河北省卫健委医学科学研究课题计划(20210062)

Nursing care of a patient with peritoneal dialysis complicated with late posterior peritoneal leakage

WANG Min(), ZHANG Chunxia, FU Shuxia, XING Lingling, WU Xiaolei, LU Suyu, PEI Huaying()   

  • Received:2022-01-04 Online:2022-09-10 Published:2022-09-07

摘要:

总结1例腹膜透析患者并发迟发性后腹膜渗漏的护理过程。护理要点:多种方式做好腹膜透析患者居家治疗期间的远程护理管理;及时发现透析液渗漏的相关征象,及时有效对症治疗;做好透析液渗漏发生后患者及家属的心理护理,教会其腹膜透析管路居家维护方法,协助做好治疗过渡;给予针对性、持续性的健康指导,积极预防迟发性后腹膜渗漏的发生。停止腹膜透析8周后,患者恢复持续不卧床腹膜透析,未再发生渗漏。

关键词: 腹膜透析, 迟发性, 后腹膜, 渗漏, 护理

Abstract:

To summarize the diagnosis,treatment and nursing care of a patient with peritoneal dialysis complicated with late posterior peritoneal leakage. Nursing key points:multiple ways to do a good peritoneal dialysis patients during home treatment of remote nursing management;timely detection of dialysis fluid leakage related signs,timely and effective symptomatic treatment;providing psychological care for patients and their families after dialysis fluid leakage,teaching home maintenance methods of peritoneal dialysis pipelines,and assisting in the transition of treatment;providing targeted and continuous health guidance,and actively preventing the occurrence of late peritoneal leakage. After 8 weeks,the patient returned to continuous ambulatory peritoneal dialysis with no further leakage.

Key words: Peritoneal Dialysis, Late, Posterior Peritoneal, Leakage, Nursing Care