Parsoo I, Seedat Y K, Naicker S, Kallmeyer J C
S Afr Med J. 1983 Mar 12;63(11):403-5.
This study analyses our experience with continuous ambulatory peritoneal dialysis (CAPD) over a period of 2 1/2 years. Twenty-six patients are continuing on CAPD. Of the 31 Whites, 19 Asians, 5 Coloureds and 3 Blacks who began treatment, 15 Whites, 8 Asians, and 3 Coloureds but no Black patients are continuing treatment. Peritonitis was the most important limiting factor and occurred once in every 28,5 weeks in Coloureds, once in 19,5 weeks in Whites, once every 16 weeks in Asiatics and once every 11 weeks in Blacks. Twenty-eight per cent of the patients had 70% of the episodes of peritonitis. Advantages of CAPD were personal freedom, control of blood pressure and fluid balance, and a greater latitude in acceptance of more patients into a chronic renal dialysis programme. The value of CAPD should be assessed further in time and should not be regarded as the final solution to the management of patients with chronic renal failure.
本研究分析了我们在2年半时间里进行持续性非卧床腹膜透析（CAPD）的经验。26例患者仍在接受CAPD治疗。在开始治疗的31名白人、19名亚洲人、5名有色人种和3名黑人中，15名白人、8名亚洲人和3名有色人种仍在继续治疗，但没有黑人患者继续治疗。腹膜炎是最重要的限制因素，有色人种每28.5周发生一次，白人每19.5周发生一次，亚洲人每16周发生一次，黑人每11周发生一次。28%的患者发生了70%的腹膜炎发作。CAPD的优点包括个人自由、血压和液体平衡的控制，以及在慢性肾透析项目中接纳更多患者方面有更大的灵活性。CAPD的价值应进一步及时评估，不应被视为慢性肾衰竭患者管理的最终解决方案。
