CAJ | 학술논문

目的：分析腹膜透析相关性腹膜炎的临床特征，降低腹膜炎的发生率。方法回顾我院腹膜透析相关性腹膜炎患者60例，分析其发生的原因及腹膜炎的致病菌和药敏结果。结果60例患者中因操作不规范占28例（46.7%）；腹泻占12例（20%），腹膜透析液污染占8例（13%），其他原因12例（20%）；有50例细菌培养阳性，32例培养出革兰阳性球菌（64%），15例培养出革兰阴性杆菌（30%），真菌3例（6%）。结论革兰阳性菌是腹膜透析相关性腹膜炎最常见病原菌，且腹膜透析患者腹膜炎发生率较高，应加强对患者培训和随访，以降低腹膜炎发生率。
목적：분석복막투석상관성복막염적림상특정，강저복막염적발생솔。방법회고아원복막투석상관성복막염환자60례，분석기발생적원인급복막염적치병균화약민결과。결과60례환자중인조작불규범점28례（46.7%）；복사점12례（20%），복막투석액오염점8례（13%），기타원인12례（20%）；유50례세균배양양성，32례배양출혁란양성구균（64%），15례배양출혁란음성간균（30%），진균3례（6%）。결론혁란양성균시복막투석상관성복막염최상견병원균，차복막투석환자복막염발생솔교고，응가강대환자배훈화수방，이강저복막염발생솔。
Objective Analysis the clinical features of peritoneal dialysis related peritonitis, thus reduce the incidence of peritonitis. Methods Reviews from 60 patients with peritoneal dialysis related peritonitis, analyzes its causes and pathogenic bacteria and drug susceptibility results of peritonitis. Results After the analysis, there were 28 cases (46.7%) caused by illegal operations;secondly, 12 cases of diarrhea (20%), 8 cases of peritoneal dialysis fluid contamination (13%), 12 cases of other causes (20%);there were 50 cases culture positive, including 32 cases with gram positive cocci (64%), gram negative bacilli in 15 cases (30%), 3 cases of fungus. Conclusion Gram-positive bacteria is the most common pathogens in peritoneal dialysis related peritonitis, and higher incidence of peritoneal dialysis patients with peritonitis, should strengthen the training and follow-up of patients, in order to reduce the incidence of peritonitis.