Nakanishi T, Yanase M, Fujii M, Tanaka Y, Orita Y, Abe H
Nephron. 1984;37(2):128-32. doi: 10.1159/000183228.
This paper presents the application of wire-guide insertion of peritoneal dialysis catheter. 30 patients who required acute peritoneal dialysis were treated using a total of 37 peritoneal catheters with the wire-guide method. The catheters were left in place as long as possible (periods totalling 644 days in all). The complication of insertion was minor bleeding with blood-tinged dialysate that tended to clear spontaneously in a few days. Leakage occurred in 17 indwelling catheters but did not occur on the days of insertion. There were 3 episodes of clinical peritonitis, so the infection rate was 1 episode every 7 patient-months. This technique is safer and simpler, i.e. the incidence of peritonitis is lower in long-term indwelling catheters, and so it will contribute to the wider and earlier utilization of peritoneal dialysis.
本文介绍了导丝引导下置入腹膜透析导管的应用。30例需要进行急性腹膜透析的患者共使用37根腹膜导管采用导丝引导法进行治疗。导管尽可能长时间留置（总计644天）。置入的并发症为少量出血，透析液呈血性，几天后往往会自行清除。17根留置导管发生渗漏，但在置入当天未发生。发生3次临床腹膜炎，感染率为每7个患者月1次。该技术更安全、更简单，即长期留置导管时腹膜炎的发生率较低，因此将有助于更广泛、更早地应用腹膜透析。
