2016年2月9日星期二

Undesirable Effects of Long-Term Peritoneal Dialysis

Compared with hemodialysis, peritoneal dialysis is less expensive and more convenient, for which it is commonly taken among end-stage kidney disease patients. Although peritoneal dialysis can temporarily remove metabolic wastes, it can neither completely replace nor repair kidney damages. Besides, long-time reliance on peritoneal dialysis can bring about a series of undesirable effects, which can be seen as follows.

1.Intubation complications

Traumatic bleeding with slight blood liquid in enterocoelia can be seen; other intubation complications include: visceral perforation, mild intestinal obstruction after intubation, dialysis tubule distortion, dialysis tubule obstruction caused by not well controlled dialysate drainage and so on.

2.Combined abdominal pains

During peritoneal dialysis, abdominal pains can be caused by abdominal expansion, stimulation of hypertonic glucose and improper location of dialysis tubes.

3. Combined abdominal distension

At early stage of peritoneal dialysis, due to inadaptation to dialysis and decreased bowel peristalsis, abdominal distension can appear.

4. Combined peritonitis

Peritonitis is caused by infections in It is the most common complication during peritoneal dialysis,

5. Electrolyte imbalance and acid-base disorders

Inadequate dialysis and not well controlled diet can lead to hyperkalemia, while excessive surplus can lead to hypokalemia.

6. Low blood pressure

Improper selection of high-sugar and hypertonic dialysate as well as excessive dehydration can cause low blood volume and low blood pressure.

7. Combined pulmonary insufficiency

The irrigation liquid can lead to elevated intra-abdominal pressure and diaphragm elevation, causing liver insufficiency, which usually appears in those with original liver diseases or liver infections.

8. Vagus nerve reflex symptoms

In some patients, during infusion and excretion of dialysate, vagus nerve reflex symptoms such as bradycardia, hypotension and difficult breathing can appear.


Above all are the undesirable effects of long-term peritoneal dialysis. As our kidneys are not repaired through dialysis, patients with end-stage kidney diseases are advised to take a fundamental way to repair your kidneys.

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