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腹膜透析导管置入麻醉方式选择的研究进展

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腹膜透析导管(PDC)的建立是终末期肾病(ESRD)患者顺利进行腹膜透析(PD)的前提。PD前需成功置入PDC,而在放置PDC过程中应选择合适的麻醉方式。目前的麻醉方式主要包括局部浸润麻醉(LAI)、全身麻醉(GA)、蛛网膜下腔麻醉(SA)、腹横面麻醉阻滞(TAPB)和监护麻醉(MA)等。对于PDC置入时应采用的麻醉方式尚无统一定论,每种麻醉方式均有优缺点。该文就PDC置入术前的麻醉方式优缺点进行综述,以期为临床医生术前麻醉方式的选择提供参考。
Research progress on selection of anesthesia methods for peritoneal dialysis catheter placement
The establishment of peritoneal dialysis catheter(PDC)is the prerequisite for the patients with end-stage renal disease(ESRD)to successfully perform peritoneal dialysis(PD).PDC should be success-fully inserted before PD,and the appropriate anesthesia method should be selected during the PDC placement process.At present,the anesthesia methods mainly include local infiltration anesthesia(LAI),general anes-thesia(GA),subarachnoid anesthesia(SA),transverse abdominal anesthesia block(TAPB)and monitoring anesthesia(MA).There is no consensus on which anesthesia should be used for PDC placement,and each anes-thesia method has its own advantages and disadvantages.This article reviews the advantages and disadvanta-ges of preoperative anesthesia methods for PDC placement,in order to provide a reference for clinicians to choose preoperative anesthesia method.

end-stage renal diseaseperitoneal dialysiscatheterizationanesthesia methodreview

张玲、方利、郑小玲、申兵冰、张军、赵洪雯

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陆军军医大学第一附属医院肾科,重庆 400038

终末期肾病 腹膜透析 置管 麻醉方式 综述

2024

重庆医学
重庆市卫生信息中心,重庆市医学会

重庆医学

CSTPCD
影响因子:1.797
ISSN:1671-8348
年,卷(期):2024.53(23)