Maher J F, Ahearn D J, Bryan C W, Nolph K D
Nephron. 1975;15(1):8-16. doi: 10.1159/000180488.
Survival after serum creatinine exceeded 10.0 mg/100 ml was increased if one peritoneal dialysis was performed. After one peritoneal dialysis 'survival' of 62 patients to the present time, death or the next dialysis averaged 119 days; median survival was 28 days. Characteristics of prolonged survivors were persistent reduction of serum creatinine below the predialysis concentration, tubulointerstitial diseases, i.e. polycystic kidneys, pyelonephritis or obstructive nephropathy, potentially reversibel complications such as urinary tract infection or extracellular volume depletion, and high urine volume, and low blood pressure. Occasional pateints with survival exceeding 2 years suggest the possibility of prolonged benefit after a single dialysis at least in those wiht characteristics favoring longer survival.
如果进行一次腹膜透析,血清肌酐超过10.0mg/100ml后的生存率会提高。在62例患者进行一次腹膜透析后的“存活”至目前,死亡或下一次透析的平均时间为119天;中位生存期为28天。长期存活者的特征是血清肌酐持续降至透析前浓度以下、肾小管间质性疾病,即多囊肾、肾盂肾炎或梗阻性肾病、潜在可逆性并发症,如尿路感染或细胞外液容量减少,以及高尿量和低血压。偶尔有存活超过2年的患者表明,至少在那些具有有利于更长生存期特征的患者中,单次透析后可能会有长期益处。