腹膜透析 讲课.ppt

腹膜透析 终末期肾衰竭腹膜透析适应证和禁忌证 腹膜透析手术 腹膜透析并发症诊断要点和处理原则 腹膜透析充分性评判标准 Evaluauon onr. ch Asposeslides for NET 4o dient P Evaluation only. Created with Aspose Slides for NET 4.0 dient Profilo 71 Copyright 2004-2017Aspose Pty L  腹膜透析适应症 ·急慢性肾功能衰竭 愿意腹透 不耐受血透心脏病,血管病变幼儿 喜欢家中透析 非肾脏病领域 心衰、重症胰腺炎、 肝昏迷、药物中毒等 Evaluauon onr. ch Asposeslides for NET 4o dient P Evaluation only. Created with Aspose Slides for NET 4.0 dient Profilo 71 Copyright 2004-2017Aspose Pty L  禁忌证 绝对禁忌证 ●腹腔广泛粘连 ●外科无法修补的疝 Evaluauon onr. ch Asposeslides for NET 4o dient P Evaluation only. Created with Aspose Slides for NET 4.0 dient Profilo 71 Copyright 2004-2017Aspose Pty L  禁忌证 相对禁忌证 患者依从性差 ●精神异常无法进行腹透操作又缺乏合适助手 ●炎症性或缺血性肠病 ●严重腹部皮肤感染 严重的营养不良 ●反复发作的肠道憩室炎 Evaluauon onr. ch Asposeslides for NET 4o dient P Evaluation only. Created with Aspose Slides for NET 4.0 dient Profilo 71 Copyright 2004-2017Aspose Pty L  术前准备 ◆血常规 ◆凝血六项 ◆输血前体检 ◆腹部超声 ◆既往史(腹部手术史、疝气等 Evaluauon onr. ch Asposeslides for NET 4o dient P Evaluation only. Created with Aspose Slides for NET 4.0 dient Profilo 71 Copyright 2004-2017Aspose Pty L  手术过程 切开皮肤及皮下组织 Evaluauon onr. ch Asposeslides for NET 4o dient P Evaluation only. Created with Aspose Slides for NET 4.0 dient Profilo 71 Copyright 2004-2017Aspose Pty L  手术过程 钝性分窝腹直肌前、腹宜肌、腹直肌后鞘 Evaluauon onr. ch Asposeslides for NET 4o dient P Evaluation only. Created with Aspose Slides for NET 4.0 dient Profilo 71 Copyright 2004-2017Aspose Pty L  手术过程 在腹膜上作一荷包缝合 Evaluauon onr. ch Asposeslides for NET 4o dient P Evaluation only. Created with Aspose Slides for NET 4.0 dient Profilo 71 Copyright 2004-2017Aspose Pty L  手术过程 切开腹膜 Evaluauon onr. ch Asposeslides for NET 4o dient P Evaluation only. Created with Aspose Slides for NET 4.0 dient Profilo 71 Copyright 2004-2017Aspose Pty L  手术过程 放置腹话管 Evaluauon onr. ch Asposeslides for NET 4o dient P Evaluation only. Created with Aspose Slides for NET 4.0 dient Profilo 71 Copyright 200