腹膜透析并发包裹性腹膜硬化症1例报道
Peritoneal dialysis with encapsulating peritoneal sclerosis: a case report

目的 ·提高对腹膜透析相关的包裹性腹膜硬化症的认识和防治。方法 ·分析1例退出腹膜透析后发生包裹性腹膜硬化症并给予药物治疗的病例。结果 · 1例因腹膜超滤衰竭退出腹膜透析的血液透析患者出现肠梗阻症状，结合影像学结果，诊断为包裹性腹膜硬化症，给予药物治疗结合全胃肠外营养，临床症状有明显改善。结论 ·包裹性腹膜硬化症是腹透患者的严重并发症，早期诊断困难，预后差，严重影响着腹膜透析患者的生存质量。药物及手术治疗各有优缺点，应及时发现尽早治疗。
： Objective · To improve awareness, prevention, and treatment of peritoneal dialysis-related encapsulating peritoneal sclerosis. Methods · A case developing encapsulating peritoneal sclerosis after discontinuing peritoneal dialysis and receiving medication treatment was analyzed. Results · A patient developed intestinal obstruction after discontinuing peritoneal dialysis due to peritoneal ultrafiltration failure. Combined with imaging examination, the diagnosis was encapsulating peritoneal sclerosis. Clinical symptoms were significantly improved after receiving medication treatment and total parenteral nutrition. Conclusion · Encapsulating peritoneal sclerosis is a serious complication in peritoneal dialysis patients. As the early diagnosis is difficult and the prognosis is poor, it significantly affects the quality of life. Both medication treatment and surgery have advantages and disadvantages. Early diagnosis and prompt treatment are necessary