Hidrotórax agudo masivo secundario a diálisis peritoneal aguda en síndrome hemolítico urémico: Caso clínico

Autor:	Astrid Valenzuela S, Ricardo Ronco M, Rafael Torres N, Francisco Ossandón C, Jorge Roque E, Pablo Cruces R
Rok vydání:	2006
Předmět:	medicine.medical_specialty business.industry medicine.medical_treatment Hydrothorax Diaphragmatic breathing General Medicine medicine.disease Surgery Peritoneal dialysis peritoneal dialysis Hemofiltration medicine Acute respiratory failure business Complication Pleurodesis
Zdroj:	Revista médica de Chile v.134 n.1 2006 SciELO Chile CONICYT Chile instacron:CONICYT
ISSN:	0034-9887
Popis:	Massive acute hydrothorax (MAH) is a severe and unusual noninfectious complication of peritoneal dialysis (PD). It can lead to acute respiratory failure and may diminish the effectiveness of the dialytic therapy. Many therapeutic strategies for this complication are employed, ranging from conservative methods like reduction of the volume of the dialysate and the transitory interruption of the PD, to more aggressive therapies as the closure of diaphragmatic defects by videothoracoscopy with or without pleurodesis. Herein, we report a two years old girl that developed acute renal failure due to an hemolytic uremic syndrome. She underwent PD and developed MAH. PD was temporarily ceased and continuous veno-venous hemofiltration was started. After 8 days, PD was resumed uneventfully. The temporary interruption of the PD was an effective measure to avoid the recurrence of the MAH
Databáze:	OpenAIRE
Externí odkaz:	https://explore.openaire.eu/search/publication?articleId=doi_dedup___::785da3216b4622dd287dbee5bd539b3a https://doi.org/10.4067/s0034-98872006000100013 Zobrazit plný text záznamu