【摘要】 目的 探讨腹膜透析在重症急性肾功能衰竭救治中的应用及对预后的影响。方法 1996年1月～2003年9月用腹膜透析治疗重症急性功能衰竭患者36例，采用BAXTER公司生产的“O”型腹膜透析装置和袋装透析液，行直视下手术植管或非直视植管(即用TENCKHOFF套针)，将Tenckhoff式透析管植入膀胱直肠窝或子宫直肠陷凹，手术后10～14天内，行间歇性腹膜透析，之后改为持续性不卧床腹膜透析，并根据病人水、电解质及酸碱平衡情况调节腹透液中钾、血糖浓度，透析周期和量。结果 36例患者存活21例，存活率58.3%，并对其死亡原因进行初步分析。结论 腹膜透析在治疗重症急性肾功能衰竭具有简便、安全、效果好的特点。

    关键词 腹膜透析 急性肾功能衰竭

    The clinical investigation of peritoneal dialysis to rescue severe acute renal failure

    Zhong Weiqiang，Cai Xun，Liu Guanxian，et al.

    Department of Kidney，Huizhou Center Hospital，Guangdong516001.

    【Abstract】 Objective To investigate the application of peritoneal dialysis and its effect on rescuing severe acute renal failure. Methods Peritoneal dialysis was used to rescue 36 patients with severe acute renal failure from the January of 1996 to September of 2003. The“O”form peritoneal dialysis assembly and dialysate made from the company of BAXTER were used in the operation of erect dialysis tube. The Tenchoff dialysis tube was erected between bladder archo-pouch or metra-archo-pouch. Between 10～14 days after the operation ......