Symptoms of peritoneal dialysis peritonitis

summary

Peritonitis is one of the common complications of peritoneal dialysis patients, which can cause technical failure and hospitalization. The causes of peritonitis are often related to the failure to strictly follow the aseptic requirements for fluid change, improper nursing of tunnel mouth, gastrointestinal tract infection, or the decline of disease resistance. The symptoms of peritoneal dialysis peritonitis tell us.

Symptoms of peritoneal dialysis peritonitis

Peritonitis is one of the main complications of peritoneal dialysis, usually in the abdominal cavity by bacterial infection 12-24 hours, suddenly appear turbid dialysate, or accompanied by abdominal pain, a small number of people may also appear nausea, vomiting, fever, shivering and other conditions, should be paid attention to, vigilant of the occurrence of peritonitis. In addition, in continuous ambulatory peritoneal dialysis (CAPD), the patency of the dialysis tube suddenly blocked, should also be alert to peritonitis. If necessary, the type of infection should be confirmed by laboratory examination.

Peritoneal dialysis is one of the most important treatments for uremic patients. The total peritoneal area in adults is about 1.65 square meters. Because of its special structure and physiological characteristics, the peritoneum is a good semi permeable membrane, through which we can clear the metabolites in patients with renal failure and correct the imbalance of water and electrolyte. Therefore, in the past half century, peritoneal dialysis has attracted more and more attention of nephrologists all over the world.

In the past, the traditional view was that the occurrence of peritonitis in peritoneal dialysis was only related to the contamination of the operation process, but in many years of clinical practice, Professor Ren Yeping gradually found that: under the same technical conditions, some patients had recurrent peritonitis, which affected the dialysis effect; Others have less peritonitis.

matters needing attention

(1) Enhance immune function. Patients with peritoneal dialysis have low immunity and are susceptible to colds. In cold prone seasons, we should pay attention to keeping warm, avoid going to public places and reduce the possibility of infection（ 2) Increase nutrition. Peritoneal dialysis patients lose about 5-15g of protein every day, usually should eat more high-quality animal protein, strengthen nutrition, improve immunity（ 3) Avoid intestinal infection. We should pay attention to food hygiene, choose fresh food with good quality, cook it well, do not eat overnight meals, deteriorated and irritating food, avoid gastrointestinal tract infection, infection should be actively treated. It is also very important to keep the stool unobstructed. When constipation, the intestinal tube full of feces will compress the peritoneal dialysis tube, making the dialysate perfusion and discharge difficult. At the same time, bacteria will penetrate the intestinal wall and enter the abdominal cavity, causing peritonitis. Prevent constipation can eat more high fiber food, such as brown rice, high fiber Cereals, carry out some moderate activities every day, take some laxatives when constipation occurs.