ANALYSIS OF HYDROTHORAX IN PERITONEAL DIALYSIS PATIENTS

 

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https://storage.unitedwebnetwork.com/files/1099/715a69d94307e030e2e175fa6b557c4f.pdf
ANALYSIS OF HYDROTHORAX IN PERITONEAL DIALYSIS PATIENTS

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Pin-Han
Hsia
Pin-Han Hsia g905047@ntuh.gov.tw National Taiwan University Hospital Department of Nursing Taipei Taiwan *
Hsiu-Wen Changchein g905047@ntuh.gov.tw National Taiwan University Hospital Department of Nursing Taipei Taiwan -
Hui-Ting Liu g905047@ntuh.gov.tw National Taiwan University Hospital Department of Nursing Taipei Taiwan -
Yi-Ting Chen g905047@ntuh.gov.tw National Taiwan University Hospital Renal Division, Department of Internal Medicine Taipei Taiwan -
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The incidence of non-infectious complications related to peritoneal dialysis has been increasing year by year. Approximately 32% of patients are unable to continue peritoneal dialysis due to these complications and must switch to hemodialysis.

Peritoneal dialysis-associated pleural effusion occurs when dialysis fluid enters the pleural cavity through congenital defects or openings in the diaphragm, driven by the pressure difference between the abdomen and thorax. This condition is more common in females and typically affects the right side. It often presents in the early stages of dialysis.Recently, our hospital has observed an increase in the number of peritoneal dialysis patients developing hydrothorax . We hope that this retrospective study can serve as a valuable clinical reference.

The subjects of this study were peritoneal dialysis patients from a medical center in northern Taiwan. This is a retrospective study, with data collected from 2017 to 2024. A total of 16 patients who developed hydrothorax during this period were included.

The center had a total of 719 new patients during the period 2017-2024, with an average of 438.6 patients per year.Among them, 16 patients developed hydrothorax complications. In terms of gender, there are 12 females accounting for 75% and 4 males accounting for 25%.There is 1 person under 40 years old, accounting for 6.25%, 7 people aged 41-60 years old, accounting for 43.75%, 4 people aged 61-70 years old, accounting for 25%, and 4 people aged 70 years old and above, accounting for 25%.

Hydrothorax occurred on the right side in 14 patients (87.5%) and bilaterally in 2 patients (12.5%). Regarding the time of hydrothorax onset, 7 patients were on dialysis within 3 months, accounting for 43.75%. 5 patients were on dialysis for 3-12 months, accounting for 31.25%. 3 patients were on dialysis for more than 1 year, accounting for 18.75%. 1 patient was not on dialysis, accounting for 6.25%.

The results showed that hydrothorax occurred mostly in women and on the right side, which is consistent with the literature. Regarding the time of occurrence of hydrothorax, the literature shows that it occurs in the early stage of dialysis. However, the results of this study show that the time of occurrence of hydrothorax is not necessarily in the early stage. It can occur one year after dialysis, and some patients even develop it after 9 years of dialysis. As for surgical repair, only 50% of patients are willing to undergo it. However, some patients are still unwilling to resume peritoneal dialysis treatment after the surgery, resulting in patient loss.

After surgery, hydrothorax has a high chance of recovery, so patients can be encouraged to undergo repair surgery. Peritoneal dialysis treatment can give patients a better quality of life and preserve better residual renal function. Through good dialysis education, more peritoneal dialysis patients can benefit.

Kewords