Maher J F
Z Urol Nephrol. 1987 Apr;80(4):229-37.
Five decades were between the first clinical use of the peritoneal dialysis and the introduction of the continuous ambulant peritoneal dialysis (CAPD)-five decades with many problems and little acceptance of this technique by patients and physicians. Greater week clearances in the CAPD led to a significant increase of the effectiveness in comparison to intermittent therapeutic forms, so that the popularity of this method of treatment rapidly increased. A simple technical handling and the patient's independence of the machine essentially contribute to the popularity of the CAPD. Significant results in the combat against peritonitis, the main problem of the CAPD, made the CAPD a recognized method of treatment for the terminal renal insufficiency. Should not unforeseeable innovations decisively improve the technique of haemodialysis, the CAPD will maintain its position beside the haemodialysis also in the following decade.
从腹膜透析首次临床应用到持续性非卧床腹膜透析（CAPD）的引入历经了五十年——这五十年间该技术存在诸多问题，患者和医生对其接受度也很低。与间歇性治疗方式相比，CAPD更大的每周清除率显著提高了治疗效果，因此这种治疗方法的普及率迅速上升。操作简单以及患者无需依赖机器这两点是CAPD普及的重要因素。在对抗CAPD的主要问题——腹膜炎方面取得的显著成果，使CAPD成为终末期肾功能不全的一种公认治疗方法。如果不可预见的创新不能决定性地改进血液透析技术，那么在接下来的十年里，CAPD在血液透析之外仍将保持其地位。
