Zhang Yun (pseudonym), 42, an office worker, has previously been diagnosed with uremia. In late August, Zhang Yun developed symptoms of uremia such as nausea and poor appetite, and came to the Department of Nephrology of the Fifth People's Hospital of Chongqing (Chongqing Renji Hospital of the National University of Science and Technology) (hereinafter referred to as the Fifth Hospital of chongqing) to prepare for dialysis treatment.
A nephrologist nurse performs a peritoneal dialysis fluid exchange for Zhang Yun
He Yun, director and chief physician of the Department of Nephrology, and Cao Dan, deputy director of the Department of Nephrology, introduced to Zhang Yun the two main ways of dialysis treatment for uremia patients at present - hemodialysis and peritoneal dialysis. After careful research and comprehensive analysis of the patient's condition, it was decided to choose peritoneal dialysis treatment for the patient.
With the cooperation of surgery and anesthesiology, the Department of Nephrology successfully performed peritoneal dialysis catheterization and peritoneal dialysis treatment for Zhang Yun. After treatment, the patient's gastrointestinal symptoms gradually improved, the serum creatinine level decreased significantly compared with before, and the re-examination of the abdominal plain film showed that the catheter was in good position. After the operation, the head nurse Li Yunping, the abdominal dialysis nurse Wang Lai and Xu Longrong carried out nursing guidance for the patients on peritoneal dialysis fluid exchange, and after many patient guidance, Zhang Yun has mastered the method of peritoneal dialysis fluid exchange at home and was successfully discharged from the hospital recently. When he was discharged from the hospital, Zhang Yun teased the medical staff: "I have also learned a technique, and I can become a teacher of peritoneal dialysis in the future." ”
Zhang Yun took a group photo with some medical staff in the Department of Nephrology
As one of the alternative treatment methods for the kidneys, compared with hemodialysis, more and more patients with uremia choose peritoneal dialysis treatment due to the advantages of simple equipment, easy operation, home treatment, no effect on blood coagulation, stable cardiovascular system, low cross-infection rate, and better protection of residual kidney function.
The case was successfully completed from the diagnosis of the condition, peritoneal dialysis catheterization, peritoneal dialysis treatment, nursing guidance and other links, marking the formal treatment of peritoneal dialysis in nephrology
The successful development has opened a new chapter in the hospital's renal replacement treatment, providing more options for uremia patients.
Related Science Knowledge》》
1. What is peritoneal dialysis?
Peritoneal dialysis is the use of the peritoneum as a semi-permeable membrane characteristics, through gravity to the prepared peritoneal fluid regularity, timing through the catheter into the patient's peritoneal cavity, due to the presence of solutes on both sides of the peritoneum gradient difference, the solute on the high concentration side to the low concentration side to move; the water from the low concentration side to the high concentration side. Through the continuous replacement of intraperitoneal dialysate, in order to achieve the purpose of removing metabolites and toxic substances in the body and correcting water and electrolyte imbalances.
2. What are the advantages of peritoneal dialysis?
1) It can better protect residual kidney function;
2) Small impact on the cardiovascular system;
3) Home treatment, life is more autonomous;
4) No vascular puncture is required, and the pain is small;
5) The chance of infection with hepatitis B and C is low.
Department Introduction》》
The Department of Nephrology of The Fifth People's Hospital of Chongqing was founded in 2010 and is a key clinical specialty in Nan'an District. The Department of Nephrology consists of wards and blood purification centers. He is mainly engaged in the standardized diagnosis and treatment of primary glomerular diseases and secondary glomerular diseases, urinary tract infections, acute and chronic renal failure and other diseases. Carry out the management of chronic kidney disease; carry out various blood purification techniques (such as hemodialysis, hemodialysis filtration, hemoperfusion) for patients with maintenance hemodialysis; carry out continuous renal replacement therapy for patients with acute and critical diseases such as severe pancreatitis and multi-organ failure; carry out autologous arteriovenous fistula plasty, interventional treatment of patients with ultrasound-guided arteriovenous fistula stenosis, long-term catheterization and catheter replacement under dsa; ultrasound-guided renal puncture biopsy; peritoneal dialysis catheterization and peritoneal dialysis treatment. (Photo: Cao Dan, Yang Daofeng)