腹膜透析基础.pptVIP

腹膜透析－ESRD治疗 中南大学湘雅医院 宁建平 How PD works  腹 透 原 理   What is the peritoneal membrane ? 腹膜是被覆于腹腔的光滑浆膜 脏层腹膜 壁层腹膜 腹膜凹陷 腹腔和腹膜腔 Role of the peritoneum 腹膜的功能 Protect peritoneal organs Prevent friction of moving organs Host defense mechanisms: Mesothelial cells, monocytesmacrophages, opsonins 支持、保护腹腔脏器 分泌滑液防止脏器移动时的摩擦 宿主的防御机制: 间皮细胞、单核巨噬细胞、调理素 Components of the peritoneum as a dialysis membrane 腹膜（做为透析膜）的组成 Removal of uremic toxins 尿毒症毒素清除  Small solutes Diffusion: Convective transport Middle or large solutes Peritoneal leak Diff