HYDROTHORAX: PLEURAL EFFUSION ASSOCIATED WITH PERITONEAL DIALYSIS

被引：54
作者：
Lew, Susie Q. [1 ]
机构：
[1] George Washington Univ, Dept Med, Div Renal Dis & Hypertens, Washington, DC USA
来源：
PERITONEAL DIALYSIS INTERNATIONAL | 2010年 / 30卷 / 01期
关键词：
Hydrothorax; pleural effusion; thoracentesis; video-assisted thoracoscopic surgery; pleurodesis; COMPLICATING PERITONEAL; MASSIVE HYDROTHORAX; TALC PLEURODESIS; AUTOLOGOUS BLOOD; PLEUROPERITONEAL COMMUNICATION; THORACOSCOPIC PLEURODESIS; SUCCESSFUL MANAGEMENT; SURGICAL-TREATMENT; PATIENT; CAPD;
D O I：
10.3747/pdi.2008.00168
中图分类号：
R5 [内科学]; R69 [泌尿科学（泌尿生殖系疾病）];
学科分类号：
1002 ; 100201 ;
摘要：
Hydrothorax in a patient treated with peritoneal dialysis (PD) poses a diagnostic dilemma. Hydrothorax due to migration of dialysis fluid across the diaphragm and into the pleural space creates a serious complication of PD but generally does not threaten life. Shortness of breath causes the patient to seek medical attention. A sudden diminution in dialysis adequacy or poor ultrafiltration rate constitutes a unique marker for patients treated with PD compared to the general population. This article reviews the etiology for hydrothorax specifically in the PD population. Thoracentesis with chemical analysis of the fluid, imaging studies with and without contrast or markers, and video-assisted thoracoscopic surgery play important roles in the evaluation of hydrothorax. A conservative PD regimen, surgical intervention, and pleurodesis provide treatment options to those receiving PD.
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页码：13 / 18
页数：6
相关论文
共 69 条
[11]  
CATIZONE L, 1991, ADV PERIT D, V7, P86
[12]  
CHAO SH, 1993, PERITON DIALYSIS INT, V13, P321
[13]  
CHETTY KG, 1985, CLIN CHEST MED, V6, P49
[14]   Hydrothorax in a patient with Denys-Drash syndrome associated with a diaphragmatic defect [J].
Cho, Hee Yeon ;
Lee, Byong Sop ;
Kang, Chang Hyun ;
Kim, Woong-Han ;
Ha, Il Soo ;
Cheong, Hae Il ;
Choi, Young .
PEDIATRIC NEPHROLOGY, 2006, 21 (12) :1909-1912
[15]  
CHOW CC, 1988, NEW ZEAL MED J, V101, P475
[16]   Management options for hydrothorax complicating peritoneal [J].
Chow, KM ;
Szeto, CC ;
Li, PKT .
SEMINARS IN DIALYSIS, 2003, 16 (05) :389-394
[17]  
Chow KM, 2002, PERITON DIALYSIS INT, V22, P525
[18]  
CHRISTIDOU F, 1995, PERITON DIALYSIS INT, V15, P389
[19]   Videothoracoscopic obliteration of pleuroperitoneal fistula in continuous peritoneal dialysis [J].
DiBisceglie, M ;
Paladini, P ;
Voltolini, L ;
Garosi, G ;
Ghiribelli, C ;
DiPaolo, N ;
Gotti, G .
ANNALS OF THORACIC SURGERY, 1996, 62 (05) :1509-1510
[20]   ACUTE HYDROTHORAX-A NEW COMPLICATION OF PERITONEAL DIALYSIS [J].
EDWARDS, SR ;
UNGER, AM .
JOURNAL OF THE AMERICAN MEDICAL ASSOCIATION, 1967, 199 (11) :853-&
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