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지속적 통원성 복막투석 ( CAPD ) 121 예에 대한 임상적 고찰
한대석(Dae Suk Han),주현영(Hyun Young Joo),오광재(Kwang Jae Oh),조준구(Joon Ku Cho),구철희(Chul Hoe Koo),이호영(Ho Young Lee),김문재(Moon Jae Kim) 대한내과학회 1987 대한내과학회지 Vol.33 No.3
N/A From March 1983 through August 1986, 121 patients with end-stage renal disease of various causes were treated by continuous ambulatory peritoneal dialysis(CAPD), Peritoneal access was achieved by insertion of doublecuff Tenckhoff catheter by closed surgical technique and four 2-L exchanges per day were carried out by all patients. Clinical and biochemical status of patients was followed up monthly; the dialysis was adequate and stable in all except a few patients. Body weight and hematocrit tended to increase progressively, serum albumin decreased slightly within normal range, but serum levels of cholesterol and triglyceride showed no significant increase during the follow-up period, Overall peritonitis rate was one episode per 9,7 patient-months, But culture rate of causative organism was poor, 29.1%, most of which was Staphylococcus epidermidis. Mean hospitalization days per patient-year was 9.8 days for CAPD related and unrelated causes. Peritonitis was the most common cause of catheter removal and cumulative catheter survival rate with technical success over 24 months was 78%, while the percentage of patients remaining on CAPI) at 24 months was 48%. In our experience, the long-term potential of CAFD remains uncertain at this point. The future of CAPD as a long-term therapeutic modality seems to depend on the control of peritonitis.
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