Vaamonde C A
Postgrad Med. 1977 Sep;62(3):148-56. doi: 10.1080/00325481.1977.11714614.
Peritoneal dialysis has a definite role in the treatment of acute or chronic renal failure and certain fluid and electrolyte disturbances. Its major advantages are simplicity and availability. On the other hand, it is less effective and causes more patient discomfort than hemodialysis. Many factors enter into the decision to use one method of dialysis or the other, and the two should be considered complementary. The numerous complications that may occur during peritoneal dialysis can be avoided by careful attention to technical details. With the recent development of indwelling catheters and automatic cycling devices, long-term peritoneal dialysis is being used increasingly and successfully in the home, particularly in patients for whom home hemodialysis is difficult or inappropriate.
腹膜透析在急性或慢性肾衰竭以及某些体液和电解质紊乱的治疗中具有明确作用。其主要优点是操作简单且易于实施。另一方面,与血液透析相比,它的效果较差,且会给患者带来更多不适。决定采用哪种透析方法涉及许多因素,两种方法应被视为互补。通过仔细关注技术细节,可以避免腹膜透析过程中可能出现的众多并发症。随着留置导管和自动循环装置的最新发展,长期腹膜透析在家中越来越多地被成功应用,特别是对于那些难以或不适合进行家庭血液透析的患者。