Peritoneal access devices
Peritoneal access devices
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腹膜接入装置
DOI：
10.1111/j.1440-1797.1998.tb00355.x
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发表时间：
1998
期刊：
影响因子：
--
通讯作者：
M. Roberts
中科院分区：
文献类型：
--
作者：
M. Roberts
总结：首先，使用硬导管和软导管进入腹膜腔。1959年，麦克斯韦博士将刚性尼龙导管的使用标准化，并成为首选导管。韦斯顿和罗伯茨的改进简化了导管的插入。不幸的是，刚性导管不能用于慢性肾衰竭患者，因为它在窦道中来回移动，导致出口部位感染。为了解决这个问题，人们进行了许多尝试，使用导管可以穿过的管道，但由于感染而失败。与此同时，生物相容性较好的塑料硅橡胶的发展为软导管提供了新的机会。随着这些导管的发展，出现了Replkhoff导管，它与标准化的插入和护理程序一起，被接受为当今使用的主要导管类型。腹膜炎和出口部位感染不太常见，但仍然需要用户友好的导管。
SUMMARY: At first, both hard and soft catheters were used to obtain access to the peritoneal cavity. In 1959, Dr Maxwell standardized the use of a rigid nylon catheter and this became the catheter of choice. A modification by Weston and Roberts simplified the insertion of the catheter. Unfortunately, the rigid catheter could not be used for chronic renal failure patients because it moved to and fro in the sinus tract, resulting in infection of the exit site. Many attempts were made to solve this problem by using a conduit through which the catheter could be passed but these failed due to infection. Meanwhile, the development of a relatively biocompatible plastic, silicone rubber, provided a new opportunity for soft catheters. Progress with these catheters lead to the Tenckhoff catheter, which together with a standardized procedure for insertion and care, resulted in its acceptance as the primary type of catheter used today. Peritonitis and exit site infections are less common but there is still a need for a catheter which is user friendly.