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

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 conservati...

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Autores principales: Cruces R,Pablo, Roque E,Jorge, Ronco M,Ricardo, Valenzuela S,Astrid, Torres N,Rafael, Ossandón C,Francisco
Lenguaje:Spanish / Castilian
Publicado: Sociedad Médica de Santiago 2006
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Acceso en línea:http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872006000100013
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spelling oai:scielo:S0034-988720060001000132006-03-08Hidrotórax agudo masivo secundario a diálisis peritoneal aguda en síndrome hemolítico urémico: Caso clínicoCruces R,PabloRoque E,JorgeRonco M,RicardoValenzuela S,AstridTorres N,RafaelOssandón C,Francisco Hemofiltration Hydrothorax peritoneal dialysis 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 MAHinfo:eu-repo/semantics/openAccessSociedad Médica de SantiagoRevista médica de Chile v.134 n.1 20062006-01-01text/htmlhttp://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872006000100013es10.4067/S0034-98872006000100013
institution Scielo Chile
collection Scielo Chile
language Spanish / Castilian
topic Hemofiltration
Hydrothorax
peritoneal dialysis
spellingShingle Hemofiltration
Hydrothorax
peritoneal dialysis
Cruces R,Pablo
Roque E,Jorge
Ronco M,Ricardo
Valenzuela S,Astrid
Torres N,Rafael
Ossandón C,Francisco
Hidrotórax agudo masivo secundario a diálisis peritoneal aguda en síndrome hemolítico urémico: Caso clínico
description 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
author Cruces R,Pablo
Roque E,Jorge
Ronco M,Ricardo
Valenzuela S,Astrid
Torres N,Rafael
Ossandón C,Francisco
author_facet Cruces R,Pablo
Roque E,Jorge
Ronco M,Ricardo
Valenzuela S,Astrid
Torres N,Rafael
Ossandón C,Francisco
author_sort Cruces R,Pablo
title Hidrotórax agudo masivo secundario a diálisis peritoneal aguda en síndrome hemolítico urémico: Caso clínico
title_short Hidrotórax agudo masivo secundario a diálisis peritoneal aguda en síndrome hemolítico urémico: Caso clínico
title_full Hidrotórax agudo masivo secundario a diálisis peritoneal aguda en síndrome hemolítico urémico: Caso clínico
title_fullStr Hidrotórax agudo masivo secundario a diálisis peritoneal aguda en síndrome hemolítico urémico: Caso clínico
title_full_unstemmed Hidrotórax agudo masivo secundario a diálisis peritoneal aguda en síndrome hemolítico urémico: Caso clínico
title_sort hidrotórax agudo masivo secundario a diálisis peritoneal aguda en síndrome hemolítico urémico: caso clínico
publisher Sociedad Médica de Santiago
publishDate 2006
url http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872006000100013
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