Kawaguchi Y
Department of Nephrology and Hypertension, School of Medicine, Tokyo Jikei University, Japan.
Perit Dial Int. 1999;19 Suppl 3:S9-16.
This paper describes the current status of chronic dialysis in Japan and the guidelines used to initiate dialysis (scoring system), and reports the outcome of continuous ambulatory peritoneal dialysis (CAPD), focusing upon our center's experience. Fifty percent of CAPD technique survival was 6.9 +/- 1.3 years among those patients classified as "positive selection." The major causes of withdrawal from CAPD were ultrafiltration failure, the patients' inability to continue on CAPD by themselves, and peritonitis. The clinical issues that most concern nephrologists in CAPD management are prevention and management of ultrafiltration failure, prevention/therapeutic intervention in encapsulating peritoneal sclerosis, catheter-related infections, and prevention of underdialysis.
本文描述了日本慢性透析的现状以及用于启动透析的指南（评分系统），并报告了持续性非卧床腹膜透析（CAPD）的结果，重点是我们中心的经验。在那些被归类为“阳性选择”的患者中，CAPD技术生存率的50%为6.9±1.3年。退出CAPD的主要原因是超滤失败、患者自身无法继续进行CAPD以及腹膜炎。在CAPD管理中，肾脏科医生最关注的临床问题是超滤失败的预防和管理、包裹性腹膜硬化的预防/治疗干预、导管相关感染以及透析不足的预防。
