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[持续性非卧床腹膜透析。5年临床经验]

[Continuous ambulatory peritoneal dialysis. 5-year clinical experience].

作者信息

Fuchs C, Dorn D, Bleckmann C, Gottschaldt M, Scheler F

出版信息

Dtsch Med Wochenschr. 1985 Feb 1;110(5):163-7. doi: 10.1055/s-2008-1068791.

DOI:10.1055/s-2008-1068791
PMID:3967602
Abstract

Continuous ambulatory peritoneal dialysis (CAPD) is, next to conventional home dialysis, a world-wide method of treating chronic renal failure. This is the report of clinical experience of 34 CAPD patients who, from October 1978 to the end of 1983, had undergone 642 treatment months. The incidence of peritonitis after introduction of a new connector system in 1983 was reduced to 1 per 46 CAPD treatment months. In only 7 patients was it necessary to discontinue CAPD for reasons connected with the type of dialysis. No patient requested discontinuance of CAPD. Suitable bag and tube materials, adequate space, and well trained personnel are decisive for a successful CAPD programme, in addition to careful selection of patients. The latter aims at optimal patient motivation for the treatment method which, in principle, is more cost effective than home dialysis. In so far as patients fulfil the requirements for home dialysis they can be excellently rehabilitated.

摘要

持续非卧床腹膜透析(CAPD)是继传统家庭透析之后,一种在全球范围内治疗慢性肾衰竭的方法。本文报告了34例CAPD患者的临床经验,这些患者在1978年10月至1983年底期间接受了642个治疗月的治疗。1983年采用新的连接系统后,腹膜炎的发生率降至每46个CAPD治疗月1例。仅有7例患者因与透析类型相关的原因而不得不停止CAPD治疗。没有患者要求停止CAPD治疗。除了仔细挑选患者外,合适的袋子和导管材料、足够的空间以及训练有素的人员对于成功开展CAPD项目至关重要。挑选患者的目的是使患者对这种治疗方法有最佳的积极性,原则上这种方法比家庭透析更具成本效益。只要患者符合家庭透析的要求,他们就能得到很好的康复。

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1
[Continuous ambulatory peritoneal dialysis. 5-year clinical experience].[持续性非卧床腹膜透析。5年临床经验]
Dtsch Med Wochenschr. 1985 Feb 1;110(5):163-7. doi: 10.1055/s-2008-1068791.
2
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