Peritoneal dialysis peritonitis analysis of 28 cases.doc

 PAGE \* MERGEFORMAT 14 Peritoneal dialysis peritonitis analysis of 28 cases Keywords: peritoneal dialysis peritonitis Peritonitis is the end-stage renal failure patients during continuous ambulatory peritoneal dialysis (CAPD) treatment of the most common complication of peritoneal dialysis can not be maintained leading to the most common cause could eventually lead to withdrawal in patients with peritoneal dialysis. While peritoneal dialysis centers the incidence of peritonitis in CAPD patients with different, but the overall incidence rate is still 1.1 to 1.3 times / (patient year). In recent years, with the launching of automated peritoneal dialysis catheter connection system improvements, disinfection measures and aseptic technology, continuous improvement, the incidence of peritonitis has been reduced to 1 / (2 ~ 3 patient years) [1]. Authors from July 2006 to October 2008 for 28 cases of undergraduate treatment of uremic patients receiving CAPD-related peritonitis complicated clinical conditions, causes, analyze and propose countermeasures. A clinical data 1.1 General Information of this group of 28 patients 17 were males and 11 females; average age (56 ± 7.1) years of age. Of their primary disease were chronic glomerulonephritis in 11 cases, 9 cases of diabetic nephropathy, hypertension and kidney disease in 5 cases, obstructive nephropathy, Alport syndrome, polycystic kidney disease in 1 case. Peritoneal dialysis peritonitis accordance with the 1987 session of the National Blood Purification of infectious peritonitis in CAPD complicated diagnostic criteria: (1) the signs and symptoms of peritonitis; (2) peritoneal dialysis fluid turbid, white blood cell count “100 / mm3, neutrophil cell ratio “50%; (3) peritoneal dialysis fluid bacterial smear, culture-positive, fungal peritonitis must be found before the establishment of fungal diagnostics. Comply with the above three in the two can be diagnosed with any one person as the suspe