腹膜透析是治疗肾功能衰竭的一种方法,我们最近使用腹膜透析治疗两例重症肺心病顽固心衰患者,收到满意效果。例1 男,42岁,15年来咳嗽反复发作,冬季较重,两年来下肢浮肿,活动时心慌气短加重。3月前因咳脓痰、咳嗽,气短,浮肿,不能平卧,经某医院使用较大剂量抗菌素(包括先锋霉素)、强心、利尿、吸氧及激素等综合治疗,紫绀、浮肿日渐加重,神智恍惚两天,转来我院。体温37℃,脉搏104次/分,呼吸25次/分,血压140/80毫米汞柱,神智恍惚、躁动、叹息样呼吸、口唇指甲重度紫绀,眼球结膜充血水肿,全身高度指凹性浮肿,颈静脉怒张,桶状胸,两肺中下散在 Peritoneal dialysis is a method of treating kidney failure. We recently used peritoneal dialysis in patients with refractory heart failure in two patients with severe pulmonary heart disease and received satisfactory results. Example 1 Male, 42 years old, 15 years of recurrent cough, heavier in winter, lower extremity edema in two years, activities palpitation shortness of breath worse. 3 months ago due to cough, purulent sputum, cough, shortness of breath, edema, can not be supine, the use of a large dose of antibiotics (including Pioneer ADM), cardiac, diuretic, oxygen and hormones and other comprehensive treatment, cyanosis, edema Aggravate, mentally trance two days, transferred to our hospital. Body temperature 37 ℃, pulse 104 beats / min, breathing 25 beats / min, blood pressure 140/80 mm Hg, delirium, restlessness, sighing breath, severe cyanosis of lips and nails, conjunctival congestion and edema, Jugular vein engorgement, barrel chest, two lungs scattered in the middle and lower