Cruz C, Dumler F, Schmidt R, Gotch F
Henry Ford Hospital, Detroit, Michigan.
Adv Perit Dial. 1992;8:288-90.
We prospectively studied the effects of enhanced continuous ambulatory peritoneal dialysis (CAPD) on the normalized protein catabolic rate (NPCR) and Kprt/V of two patients with zero residual renal function and marginal or below minimal HCFA values on urea kinetic modeling (Kprt/V = 0.21). Predictable increases in NPCR (from 0.61 to 0.76 and from 0.73 to 0.81 gm/kg/day, respectively) were seen after two weeks of enhanced CAPD achieved by the addition of a fifth nighttime exchange by a portable, easily operable, automated device (PD-PLUS).
我们前瞻性地研究了强化持续性非卧床腹膜透析（CAPD）对两名残余肾功能为零且根据尿素动力学模型计算的Kprt/V处于临界值或低于最低健康护理财务管理局（HCFA）值（Kprt/V = 0.21）的患者的标准化蛋白分解代谢率（NPCR）和Kprt/V的影响。通过使用便携式、易于操作的自动化设备（PD-PLUS）增加一次夜间交换来实现强化CAPD，两周后观察到NPCR出现了可预测的增加（分别从0.61增至0.76以及从0.73增至0.81克/千克/天）。
