You are on page 1of 2

The information of Kidney failure Early complication of peritoneal dialysis are: (1) intubation complications visible wound bleeding,

abdominal cavity, a small amount of bloody fluid viscera perforation, mild intestinal obstruction after intubation, dialysate leakage, distortion in dialysis tube tunnel, dialysate poor drainage, catheter jam and displacement and so on. (2) the peritonitis was the most common complications, including bacterial, fungal, n/med tuberculosis sex, gender and acidophilic granulocyte increased peritonitis, and can make peritoneal thickening, adhesion with repeated infection, dialysis efficiency drop, eventually leading to failure CAPD. (3) abdominal pain peritonitis, bloated, the stimulation of kidney failure(renal failure) treatment hypertonic glucose, dialysate PH improper preparation, or the concentration is too low and inappropriate position of the catheter, etc all can cause abdominal pain. (4) abdominal distension due to not adapt to drain or intestinal peristalsis decreases, the early can produce abdominal distension. (5) the vagus nerve reflex symptoms in some patients in the input or discharge occurs as the dialysate slow heart beat (bradycardia) and ery low blood pressure and vagal reflex symptoms such as difficulty in breathing. (6) electrolyte and acid-base balance disorders due to inadequate dialysis, poor diet control or not, can cause high potassium or hypokalemia. (7) low blood pressure dry weight estimate is too low, or inappropriate selection high sugar, high permeability, fluid, a large number of low blood volume due to dehydration, low blood pressure. (8) priming increased intra-abdominal pressure, every muscle, service and affect the lung function. (9) other such as lumbago, intestinal adhesion, hemorrhoids is aggravated. Peritoneal dialysis long-term complications mainly include: (1) the CAPD patients daily loss syndrome by peritoneal dialysate lost about 5 ~ 10 g protein, the individual differences can be in 3 ~ 20 g/d. 2 ~ 4 g daily loss of free amino acid, 80% were essential amino acid; Loss of water-soluble vitamin B1, C, B6, folic acid, etc., and intestinal soluble vitamin D. So for a long time to drain can cause malnutrition, hypoalbuminemia, neuropathy, low immune function and prone to infection. (2) the drain of ultrafiltration all through ultrafiltration volume in patients with abdominal (3) load increases sugar, lipid metabolic abnormalities in CAPD patients daily absorbing liquid to

drain 70% of the amount of glucose (100 ~ 200 g/d), to drain for a long time can cause obesity, at the same time, chronic kidney disease(ckd) treatment can cause elevated blood triglycerides and insulin secretion increased, resulting in abnormal lipid metabolism. (4) heart damage are common cardiovascular complications in patients with end-stage renal failure, drain treatment process if appear high circulation capacity, inadequate dialysis, and anemia, can make the original heart disease. (5) metabolic bone disease. Due to metabolic abnormalities in patients with vitamin D, calcium and phosphorus in the blood balance disorder, cause secondary hyperparathyroidism, coupled with iatrogenic perturbation aluminum increased, leading to bone disease and dialysis metastatic calcification, and gradually increase. (6) patients with pulmonary complications to drain any time all can be complicated with pleural effusion, accidentally can increase abruptly, to see is on the right side. (7) ventral hernia CAPD patients complicated with abdominal hernia, including inguinal hernia, incision hernia, etc. (8) in the patients with cataract to drain the blood and the crystals within the solute concentration difference is too big, combined with the concentration of glucose in the blood increases, the lack of trace elements, make the crystal protein glycosylation, crystal produced a large number of sorbitol, fibrosis, cause cataracts. (9) other, also can cause hearing loss, carpal tunnel syndrome, acquired complications such as renal cyst and renal malignant tumor.

You might also like