Martina G, Boero R, Forneris G, Iadarola G, Maffei S, Formica M, Basolo B, Rollino C, Quarello F, Piccoli G
Divisione di Nefrologia e Dialisi, Ospedale Giovanni Bosco, Torino.
Minerva Urol Nefrol. 1994 Mar;46(1):1-5.
In the early sixties a dramatic lack of hospital dialysis facilities prompted the development of home dialysis programs. The same reasons favoured in Turin, several years later, the start of a home-dialysis program and of the first European self dialysis program in an out-of-hospital setting. In the following years continuous ambulatory peritoneal dialysis was begun. In the last few years we are experiencing a new shortening of in-hospital dialysis facilities; moreover, special attention is devoted to the costs of dialysis treatment, often overlooked in the past. It is likely that self-care and home dialysis will again aid us to solve these problems, as in the past. In this paper we report on the clinical, rehabilitative and socioeconomic results of out-of-hospital dialysis treatments, and on the possible future development of home-hemodialysis and CAPD in Piedmont.
20世纪60年代初，医院透析设施严重短缺，促使家庭透析项目得以发展。几年后，同样的原因促使都灵启动了家庭透析项目以及首个欧洲院外自我透析项目。在接下来的几年里，持续非卧床腹膜透析开始实施。在过去几年中，我们再次面临医院透析设施短缺的问题；此外，人们开始特别关注透析治疗的成本，而这在过去常常被忽视。与过去一样，自我护理和家庭透析可能会再次帮助我们解决这些问题。在本文中，我们报告了院外透析治疗的临床、康复及社会经济结果，以及皮埃蒙特地区家庭血液透析和持续性非卧床腹膜透析未来可能的发展情况。
