The information of Chronic kidney disease

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The information of Chronic kidney disease

Early complication of peritoneal dialysis are:

(1) intubation complications visible wound bleeding, abdominal cavity, a small amount of bloody
fluid viscera perforation, mild intestinal obstruction after intubation, dialysate leakage, distortion in
dialysis tube tunnel, dialysate poor drainage, catheter jam and displacement and so on.

(2) the peritonitis was the most common complications, including bacterial, fungal, n/med
tuberculosis sex, gender and acidophilic granulocyte increased peritonitis, and can make
peritoneal thickening, adhesion with repeated infection, dialysis efficiency drop, eventually leading
to failure CAPD.

(3) abdominal pain peritonitis, bloated, the stimulation of kidney failure(renal failure) treatment
hypertonic glucose, dialysate PH improper preparation, or the concentration is too low and
inappropriate position of the catheter, etc all can cause abdominal pain.

(4) abdominal distension due to not adapt to drain or intestinal peristalsis decreases, the early can
produce abdominal distension.

(5) the vagus nerve reflex symptoms in some patients in the input or discharge occurs as the
dialysate slow heart beat (bradycardia) and ery low blood pressure and vagal reflex symptoms
such as difficulty in breathing.

(6) electrolyte and acid-base balance disorders due to inadequate dialysis, poor diet control or
not, can cause high potassium or hypokalemia.

(7) low blood pressure dry weight estimate is too low, or inappropriate selection high sugar, high
permeability, fluid, a large number of low blood volume due to dehydration, low blood pressure.

(8) priming increased intra-abdominal pressure, every muscle, service and affect the lung

(9) other such as lumbago, intestinal adhesion, hemorrhoids is aggravated.
Peritoneal dialysis long-term complications mainly include:

(1) the CAPD patients daily loss syndrome by peritoneal dialysate lost about 5 ~ 10 g protein, the
individual differences can be in 3 ~ 20 g/d. 2 ~ 4 g daily loss of free amino acid, 80% were
essential amino acid; Loss of water-soluble vitamin B1, C, B6, folic acid, etc., and intestinal
soluble vitamin D. So for a long time to drain can cause malnutrition, hypoalbuminemia,
neuropathy, low immune function and prone to infection.

(2) the drain of ultrafiltration all through ultrafiltration volume in patients with abdominal
(3) load increases sugar, lipid metabolic abnormalities in CAPD patients daily absorbing liquid to

drain 70% of the amount of glucose (100 ~ 200 g/d), to drain for a long time can cause obesity, at
the same time, chronic kidney disease(ckd) treatment can cause elevated blood triglycerides and
insulin secretion increased, resulting in abnormal lipid metabolism.

(4) heart damage are common cardiovascular complications in patients with end-stage renal
failure, drain treatment process if appear high circulation capacity, inadequate dialysis, and
anemia, can make the original heart disease.

(5) metabolic bone disease. Due to metabolic abnormalities in patients with vitamin D, calcium
and phosphorus in the blood balance disorder, cause secondary hyperparathyroidism, coupled
with iatrogenic perturbation aluminum increased, leading to bone disease and dialysis metastatic
calcification, and gradually increase.

(6) patients with pulmonary complications to drain any time all can be complicated with pleural
effusion, accidentally can increase abruptly, to see is on the right side.

(7) ventral hernia CAPD patients complicated with abdominal hernia, including inguinal hernia,
incision hernia, etc.

(8) in the patients with cataract to drain the blood and the crystals within the solute concentration
difference is too big, combined with the concentration of glucose in the blood increases, the lack
of trace elements, make the crystal protein glycosylation, crystal produced a large number of
sorbitol, fibrosis, cause cataracts.

(9) other, also can cause hearing loss, carpal tunnel syndrome, acquired complications such as
renal cyst and renal malignant tumor.