Orkin B A, Fonkalsrud E W, Salusky I B, Ettenger R B, Hall T, Jordan S C, Fine R N
Arch Surg. 1983 Dec;118(12):1398-402. doi: 10.1001/archsurg.1983.01390120028008.
Based on clinical experience with 35 subjects younger than 21 years of age who underwent continuous ambulatory peritoneal dialysis (CAPD) during a two-year period at our institution, this procedure was found to be superior to hemodialysis in children because it allowed great freedom of activity and produced fewer complications requiring hospitalization. Moreover, CAPD appeared to be less expensive than hemodialysis, and no mortality or significant morbidity occurred during the 386 patient-months of catheter usage. Exit site infections, peritonitis, and abdominal hernias were the most common complications, often requiring minor surgical repairs. Using a specific operative technique for catheter placement and smaller volumes of dialysate during the first week after placement, these complications were minimized. Thus, CAPD is an effective, advantageous method for treatment of end-stage renal disease in children.
根据我们机构在两年期间对35名21岁以下接受持续性非卧床腹膜透析（CAPD）的受试者的临床经验，发现该方法在儿童中优于血液透析，因为它允许更大的活动自由度，并且产生的需要住院治疗的并发症更少。此外，CAPD似乎比血液透析成本更低，在386个患者使用导管月期间未发生死亡或重大发病情况。出口部位感染、腹膜炎和腹疝是最常见的并发症，通常需要进行小型外科修复。通过在导管置入后的第一周使用特定的手术技术进行导管置入并使用较小体积的透析液，这些并发症得以最小化。因此，CAPD是治疗儿童终末期肾病的一种有效、有利的方法。
