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留置腹膜导管在慢性肾衰竭治疗中的应用。

The use of an indwelling peritoneal catheter in the treatment of chronic renal failure.

作者信息

Petrie J J, Jones E O, Hartley L C, Olive K P, Clunie G J

出版信息

Med J Aust. 1976 Jul 24;2(4):119-22. doi: 10.5694/j.1326-5377.1976.tb130070.x.

DOI:10.5694/j.1326-5377.1976.tb130070.x
PMID:979823
Abstract

Thirty-seven patients with end-stage renal failure were treated by dialysis by the peritoneal route, with a Tenckoff catheter. The basic regime was 30 2-litre exchanges twice a week. Two patients died while receiving peritoneal therapy, and 7 patients were transferred to haemodialysis because of catheter failure. Four patients received transplants directly from peritoneal dialysis, 22 were transferred electively to haemodialysis, and 2 are still being treated by peritoneal dialysis. Fourteen (1-2%) of the 1,161 dialyses were complicated by peritoneal infection. This was controlled in 13 instances by the addition of gentamicin to the dialysate, but removal of the catheter was required in one case. The mean duration of peritoneal dialysis was 14-4 weeks; 4 patients underwent this type of therapy for 78, 63, 41 and 40 weeks respectively.

摘要

37例终末期肾衰竭患者通过Tenckoff导管进行腹膜透析治疗。基本方案是每周两次进行30次2升的交换。2例患者在接受腹膜治疗期间死亡,7例患者因导管故障转至血液透析。4例患者直接从腹膜透析接受移植,22例患者选择性转至血液透析,2例仍在接受腹膜透析治疗。1161次透析中有14次(1 - 2%)并发腹膜感染。13例通过在透析液中添加庆大霉素得到控制,但有1例需要拔除导管。腹膜透析的平均持续时间为14 - 4周;4例患者分别接受这种治疗78周、63周、41周和40周。

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