臨牀透析 Vol.24 No.8(10)


特集名 透析患者の呼吸器合併症
題名 腹膜透析 (PD) と呼吸器疾患
発刊年月 2008年 07月
著者 濱田 千江子 順天堂大学医学部腎臓内科
【 要旨 】 腹膜透析 (PD) の呼吸器合併症の診断には,PD導入からの経過期間が有用な場合が多い.PD固有の呼吸器系の合併症のほとんどは,腹腔内に透析液を貯留することによる腹腔内圧の上昇によって生じるものである.本稿では,臨床で経験することの多い呼吸器合併症 [ (1) 水胸症 (hydrothorax),(2) 無呼吸症候群 (sleep apnea syndrome) : 本特集IX章参照,(3) 縦隔の異常陰影,(4) 呼吸機能の変化] について述べる.
Theme Complications of Respiratory Organs in Dialysis Patients
Title Respiratory disorder complications in peritoneal dialysis (PD) patients
Author Chieko Hamada Division of Nephrology, Department of Internal Medicine, Juntendo University School of Medicine
[ Summary ] The major symptoms of respiratory disease in patients with peritoneal dialysis (PD) are cough, sputum, shortness of breath and dyspnea. Other prominent symptoms are pleural effusion and fever, along with inflammation. Respiratory disorders are caused by complications associated with PD treatment and uremic status. Respiratory complications with PD contribute to an increase in abdominal pressure, resulting from instillation of dialysate into the peritoneal cavity. These include hernia formation, leaks (including hydrothorax or pleuro-peritoneal leaks) and alterations in respiratory function. Complications with PD not specifically related to intra-abdominal pressure include alterations in respiratory function. Some of the problems reviewed are the following : hydrothorax, abnormal shadows in the mediastinum, alterations in respiratory function.
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