Abstract
reinstituting peritoneal dialysis if the patient's condition requires additional dialysis. In our postoperative patients, a decrease in drainage from the chest tubes was noted following a reduction in dialysate volume by 10 to 15%. In summary, five patients have been seen with acute hydrothorax during peritoneal dialysis. Relative abdomi- nal overdistension appears to be the initiating event. Although symptomatic patients may require thoracentesis for relief of respiratory distress, continuing dialysis can be accomplished safely without recurrence by reducing the volume of dialysate. REFERENCES 1. Edwards SR, and Unger AM: Acute hydrothorax-a new complication of peritoneal dialysis, JAMA 199:853, 1967. 2. Finn R, and Jowett EW: Acute hydrothorax complicating peritoneal dialysis, Br Med J 2:94, 1970. 3. Holm J, Liedrn B, and Lindqvist B: Unilateral pleural effusion-a rare complication of peritoneal dialysis, Stand J Urol Nephrol 5:84, 1971. 4. Berlyne GM, Lee HA, Ralston AJ, and Woolcock JA: Pulmonary complications of peritoneal dialysis, Lancet 2:75, 1966, 5. Segar WE, Gibson RK, and Rhamy R: Peritoneal dialysis in infants and small children, Pediatrics 27:603, 1961. 6. Lieberman E: Management of acute renal failure in infants and children, Nephron 11:193, 1973. 7. Boen ST: Kinetics of peritoneal dialysis-a comparison with the artificial kidney, Medicine (Baltimore) 40:243, 1961.
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