【摘要】 腹膜透析(peritoneal dialysis,PD)是一种重要的肾脏替代治疗方式。充分的液体清除是PD治疗的重要靶目标,不充分的液体清除会导致容量超负荷,严重危及PD患者的生命。然而,容量超负荷在PD患者中仍十分常见。自动化腹膜透析(automated peritoneal dialysis,APD)是一种新型PD模式,可以通过高频夜间短留腹获得充足的腹膜超滤量,从而改善容量超负荷PD患者的预后。本文重点就PD患者容量超负荷的流行病学、容量超负荷的危害以及APD在PD患者容量管理中的应用3个方面做一个系统的综述。更多还原

【Abstract】 Peritoneal dialysis(PD) is a principal renal replacement therapy. Sufficient fluid removal is an important target of PD. Inadequate fluid removal can lead to volume overload, which may endanger live of the PD patients. However, volume overload is still very common in PD patients. Automated peritoneal dialysis(APD) is a new type of PD, which can achieve enough peritoneal ultrafiltration through frequent exchange and short dwells in night time, thus improving the prognosis of PD patients with volume overload. This paper is a systematic review focusing on the epidemiology of volume overload, the adverse effects of volume overload, and the application of APD in PD patients with volume overload.更多还原