查詢結果分析
相關文獻
- Hypokalemia is a Risk Factor for Enteric Peritonitis in Patients Undergoing Continuous Ambulatory Peritoneal Dialysis
- 腹膜透析合併低血鉀之營養照護個案報告
- 腹膜透析患者的鉀離子變化
- 腹膜透析患者的營養維持評估與營養需求
- Relationship between Serum Leptin Levels and Body Composition and Markers of Malnutrition in Nondiabetic Patients on Peritoneal Dialysis or Hemodialysis
- 腹膜透析病患的營養問題
- 每天兩公升1.1%胺基酸透析液對蛋白質熱量營養不良之慢性腹膜透析病人的體位測量和身體組成之影響
- 腹膜透析病患白蛋白改善經驗分享
- 營養教育合併黃豆蛋白營養品補充改善腹膜透析個案營養狀態
- 一位腹膜透析患者因便秘導致腹膜炎之護理經驗
頁籤選單縮合
題 名 | Hypokalemia is a Risk Factor for Enteric Peritonitis in Patients Undergoing Continuous Ambulatory Peritoneal Dialysis=低血鉀為腹膜透析病人腸內菌腹膜炎之危險因子 |
---|---|
作 者 | 莊雅雯; 陳呈旭; 鄭志雄; 吳明儒; 徐國雄; | 書刊名 | 臺灣腎臟醫學會雜誌 |
卷 期 | 21:2 2007.06[民96.06] |
頁 次 | 頁104-111+164 |
分類號 | 415.816 |
關鍵詞 | 腹膜透析; 低血鉀; 營養不良; 腸內菌腹膜炎; CAPD; Enteric peritonitis; Hypokalemia; Malnutrition; |
語 文 | 英文(English) |
英文摘要 | Hypokalemia, which is correlated with survival in continuous ambulatory peritoneal dialysis (CAPD) patients, may increase the risk of peritonitis. We retrospectively analyzed 140 CAPD patients in our hospital having complications with peritonitis during the past 2 years. The relationship between hypokalemia and nutrition status, dialysis adequacy, and the occurrence of peritonitis as well as the etiologic pathogens were analyzed. The incidence of peritonitis was significantly higher in patients with hypokalemia (6.9%) than those without hypokalemia (2.1%, P<0.001). Hypokalemia was also associated with lower serum level of albumin, phosphate, total cholesterol and normalized protein nitrogen appearance (P<0.05), but not related to daily PD exchange volume, total Kt/V, urine volume or daily ultrafiltration volume. In a subgroup of patients with hypokalemia and peritonitis, the incidence of gram negative bacteria (56.3%) was significantly higher than that of gram positive cocci (25.0%; p=0.022), and the incidence of Enterobacteriaceae (53.1%) was much more than that of epidermal microorganisms (18.8%; P=0.004). We found that CAPD patients with hypokalemia were associated with a higher incidence of peritonitis and poor nutritional status. Enterobacteriaceae were the predominant organisms. The pathogenic mechanism may be due to malnutrition and hypokalemia, and enhanced bacterial translocation. |
本系統中英文摘要資訊取自各篇刊載內容。