What are the complications of peritoneal dialysis

Due to peritoneal dialysis several times a day to operate , there are a lot of liquid out of the abdominal cavity, it is prone to complications , common complications following items .
1 intubation complications : bleeding wound for example , dialysis fluid leakage , poor drainage and other dialysis tube blockage .
2 peritonitis : is the most common complications, including infection , biodegradability and eosinophilic peritonitis. Infections from dialysis pipeline , and occasionally from the blood , intestinal and female reproductive systems.
3 missing protein, amino acids and vitamins : daily peritoneal dialysis patients will lose 8 to 10 grams of protein , amino acids 2 to 5 grams , and water-soluble vitamins . If you use peritonitis occurs when hypertonic dialysate or protein loss can be significantly increased. If the leak is not protein albumin and immunoglobulin , it can cause hypoalbuminemia, malnutrition, edema and low resistance, clinical manifestations of malaise, and weakness , poor appetite , lethargy . Therefore, care must be taken to strengthen the peritoneal dialysis nutritional intake.
4 Water and electrolyte balance : Dialysis low concentration , the resulting water into the blood vessels , increasing the blood volume occurs cerebral edema and pulmonary edema , hypertonic dialysate available to dehydration. Long-term use of hypertonic dialysate , excessive dehydration can hypovolemia, hypotension , infusion of saline or plasma can be corrected .
5 hyperglycemia : when hypertonic dialysate due to the absorption of glucose , can increase blood sugar. Occurrence of hyperosmolar nonketotic coma , dialysis should be stopped immediately , hypotonic fluid input and give insulin.
6 abdominal pain : a common cause of peritonitis , abdominal over-expansion , dialysate PH improperly configured , the temperature is too low or too high , the dialysis tube improper position or shifted . Appropriate measures should be taken for different reasons, can be added to procaine or lidocaine pain in the dialysate .
In addition , infants, children and elderly patients peritoneal dialysis has its particularity, pay more attention to the emergence of various complications.