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首页> 外文期刊>Case Reports in Nephrology >Pleuroperitoneal Leak as an Uncommon Cause of Pleural Effusion in Peritoneal Dialysis: A Case Report and Literature Review
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Pleuroperitoneal Leak as an Uncommon Cause of Pleural Effusion in Peritoneal Dialysis: A Case Report and Literature Review

机译：胸膜腹膜泄漏作为腹膜透析中胸腔积液的罕见原因：案例报告和文献综述

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摘要

Pleural effusions are frequently seen in patients on dialysis. A pleuroperitoneal leak or communication is a rare but important cause of pleural effusion in patients on peritoneal dialysis. This diagnosis can be made with a combination of biochemical tests and radiological modalities, in the absence of a gold standard diagnostic test. In addition to thoracocentesis, treatment often involves cessation of peritoneal dialysis and transition to hemodialysis. We describe a case of an 80-year-old man who presented with unilateral right-sided pleural effusion. He underwent therapeutic thoracocentesis and was subsequently diagnosed with a pleuroperitoneal leak through pleural fluid analysis. Peritoneal dialysis was ceased, and he transitioned temporarily to hemodialysis. He was subsequently treated with talc pleurodesis and successfully recommenced on peritoneal dialysis at six weeks after operation. In our report, we also review diagnostic imaging modalities, as well as advantages and disadvantages of each modality. A pleuroperitoneal leak is a rare but important complication of peritoneal dialysis and needs consideration in any patient on peritoneal dialysis presenting with unilateral pleural effusion.
机译：在透析患者中​​经常看到胸膜湿度。胸膜内泄漏或沟通是腹膜透析患者胸腔积液的罕见但重要的原因。在没有金标准诊断测试的情况下，可以使用生物化学测试和放射性模式的组合进行这种诊断。除了胸粥中，治疗往往涉及腹膜透析和过渡到血液透析。我们描述了一个80岁男子的案例，他们呈现出单方面的右侧胸腔积液。他经历了治疗胸膜，随后通过胸腔液体分析诊断患有胸膜腹膜泄漏。停止腹膜透析，他暂时过渡到血液透析。随后，他随后用滑石胸膜渗透治疗，并在术后六周内成功地预先建议腹膜透析。在我们的报告中，我们还审查了诊断成像方式，以及每种方式的优缺点。胸膜腹膜炎泄漏是腹膜透析的罕见但重要的并发症，并在腹膜透析患有单侧胸腔积液的任何患者中考虑。

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