Junor B J
Western Infirmary, Glasgow, UK.
Blood Purif. 1989;7(2-3):156-66. doi: 10.1159/000169587.
Increasingly complex devices to carry out exchanges in continuous ambulatory peritoneal dialysis (CAPD) have failed to improve on the peritonitis rates of the Italian 'Y' system which uses simple flushing along with antiseptic to sterilise the connectors. Other systems based on similar principles have produced satisfactory peritonitis rates while offering patients the ability to dispense with most of the tubing and the bag between exchanges. The enthusiasm of patients for the principle of disconnection has led to a rapid increase in the use of these systems. CAPD disconnect systems offer nephrologists reasonable peritonitis rates and patients further freedom combined with convenience and safety.
在持续非卧床腹膜透析（CAPD）中，用于进行交换的设备越来越复杂，但在腹膜炎发生率方面却未能超越意大利的“Y”系统。该系统采用简单冲洗并结合防腐剂对连接部位进行消毒。基于类似原理的其他系统在腹膜炎发生率方面表现令人满意，同时还使患者在交换过程中无需使用大部分管路和袋子。患者对断开连接原理的热衷促使这些系统的使用迅速增加。CAPD断开连接系统为肾病学家提供了合理的腹膜炎发生率，同时为患者带来了更多自由，兼具便利性和安全性。
