After 12 years of peritoneal dialysis, the worrying situation still happens…


What are peritoneal dialysis patients worried about? Aunt Zhao (pseudonym), who has been receiving peritoneal dialysis treatment for 12 years, said she has a strong say.

Once she developed peritonitis, she went across provinces to seek medical treatment.

Aunt Zhao, who has lived outside the province all year round, developed symptoms such as abdominal pain, diarrhea, nausea and vomiting, and swollen legs at the beginning of this year. She was diagnosed with peritoneal dialysis-related peritonitis by a local hospital. I visited several hospitals, but the treatment results were not satisfactory. I was also told that if the infection was still not under control after a month, the peritoneal dialysis catheter must be removed and the patient would be converted to hemodialysis temporarily or long-term.

Aunt Zhao, who had been suffering from pain and discomfort for a month, was anxious and worried that she might need to switch to alternative treatment methods. So she found Wang Yanchun, director of the Nephrology Department of Guangdong Qifu Hospital. After Director Wang Yanchun conducted a detailed condition assessment for Aunt Zhao, she used anti-infective treatment according to her physical condition and provided corresponding supportive treatment to help her correct anemia, diarrhea, elevated blood pressure and other related conditions, and help her recover as soon as possible. . Under the professional and careful care of the medical team, Aunt Zhao’s peritonitis was effectively controlled in a timely manner without irreversible impact on peritoneal function. Aunt Zhao felt relieved when she learned that she did not need to remove the peritoneal dialysis catheter.

Director Wang Yanchun, director of the hospital’s Nephrology Department and leader of the subject, has rich experience in the diagnosis and treatment of peritoneal dialysis-related peritonitis, and has helped patients like Aunt Zhao solve the distress of peritonitis more than once. Under her leadership, the Department of Nephrology has launched peritoneal dialysis treatment this year. The peritoneal dialysis technology includes peritoneal dialysis catheter insertion, extubation, peritoneal dialysis tube adjustment and reset, peritoneal dialysis home guidance, and automated peritoneal dialysis technology, which has reached the domestic advanced level. level and can provide high-quality peritoneal dialysis treatment services.

How can patients on peritoneal dialysis reduce the risk of infection?

Director Wang Yanchun introduced that peritonitis related to peritoneal dialysis is one of the most common complications of peritoneal dialysis and will affect the effect of dialysis. If the infection is not well controlled, peritoneal dialysis needs to be terminated and other renal replacement therapy options should be used. Severe peritonitis can lead to peritoneal failure. . Turbid abdominal dialysate, abdominal pain, with or without fever, abdominal tenderness and rebound tenderness are hints of possible peritonitis, and you should seek medical treatment in time. Elderly patients may only show turbid peritoneal dialysis fluid and hypotension, and other symptoms are not prominent, so they need to pay more attention.

Peritoneal dialysis is a long-term, home-based treatment, and most of the occurrences of peritonitis related to peritoneal dialysis are related to irregular operation. Director Wang Yanchun reminded that during peritoneal dialysis, attention should be paid to hand cleaning and disinfection and catheter care. If you have pets at home, you should pay more attention to the sterility of the peritoneal dialysis environment. Daily fluid intake needs to be controlled, avoid high potassium, high sodium, high phosphorus and unclean diets, and try to choose high-quality protein diets. If symptoms such as turbid peritoneal fluid, abdominal pain, fever, or acute diarrhea occur, seek medical attention promptly. Finally, regular follow-up visits are very important. You can record your blood pressure, urine output, excess excretion, weight, and medications. During follow-up, the doctor will adjust medications and dialysis prescriptions according to the situation.

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