頁籤選單縮合
題名 | 全自動腹膜透析之臨床經驗 |
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作者姓名(中文) | 莊峰榮; 黃秋錦; 方基存; 吳景恆; | 書刊名 | 長庚醫學 |
卷期 | 17:4 1994.12[民83.12] |
頁次 | 頁390-396 |
分類號 | 415.816 |
關鍵詞 | Peritoneal dialysis; Automated peritoneal dialysis; Continuous cyclic peritoneal dialysis; Peritoneal clearance; Peritonitis; Hernia; |
語文 | 中文(Chinese) |
中文摘要 | 全自動腹膜透析(APD)對末期腎衰竭接受傳統式連續性可攜帶式腹膜透析(CAPD)治療併發腹膜炎,疝氣和病人對CAPD操作不勝其煩等,提供另一種新的治療方法,本院於1991年10月15日首次引進APD,使用於三位CAPD病患具併發者,主要以連續性週期式腹膜透析(CCPD)為主,研究結果顯示高劑量CCPD在超濾量和尿素氮清除率比CAPD佳,每週肌酸酐廓清率和每週KT/V尿素氮,則減少病人負荷,而白天選用較少量透析液(1.5-1.6升)進行交換,使腹腔內壓減少,避免疝氣再復發,一位病人因使用標準型CCPD治療發生透析不足而改為高劑量型CCPD,兩位病人因發生嚴重腹膜炎和操作技術不當而回血液透析,所以APD是一種方便,省時,易操作,可改善病人生活品質之治療方法。 |
英文摘要 | For uremic patients on continuous ambulatory peritoneal dialysis who are complicated with peritonitis, hernia or burn out of meticulous procedure, automated peritoneal dialysis (APD) is a new alternative therapy. We started our APD program by continuous cyclic peritoneal dialysis (CCPD) method from October, 1991 and this study included 3 CAPD patients. Our studies showed high dose CCPD was better than CAPD in ultrafiltration and urea clearance with similar weekly creatinine clearance and weekly KT/V urea. During the one year treatment course, there was no signs of fluid overload. We performed once to twice day time exchange by low volume dialysate (1500-1600ml). There was no events of abdomen discomfort due to increase intraabdominal pressure or recurrant hernia in susceptible patient. The decrease in day time exchange frequency obviously reduced patients’ loading. One patient changed to high dose CCPD due to underdialysis after stand CCPD therapy. Two patients returned to hemodialysis due to severe peritonitis and technique method, but careful assessment of dialysis adequancy with PET test and KT/V evaluation is mandatory. |
本系統之摘要資訊系依該期刊論文摘要之資訊為主。