지속성 휴대용 복막투석(CAPD) 30 예에 관한 임상적 고찰

다국어 초록 (Multilingual Abstract)

Clinical studies were carried out on the 30 cases of CAPD who had been treated from April 1983 to February 1984.
The following results were obtained:
1) Twenty-two cases('73,3%) were male and eight cases(26. 7%) were female, with male to female ratio of 2. 75: 1. The age distribution disclosed the 4th decade in 8 cases(26.7%), Che 5th decade in 8 cases(26. 7%), and the 6th decade in 7 cases (23 3%) Indications for CAPD were: patients desire in 13 cases(43.3%), rural residence in 7 cases(23, 3%), diabetes mellitus in 7 cases(6 .7%) unstable hemodynamic state in 2 cases(6 .7%), and poor vascular access in one case(3 3%).
2) Peritonitis was the most common complicat- ion whose incidence was one episode/patient/4, 8 months. Other complications were bloody effluent in 4 cases, transient outflow obstruction in 3 cases, catheter malposition in 2 cases, catheter exit site infection in one case, leakage of dialysate around catheter in one case, scrotal swelling in one case and hearing difficulty in 3 cases. The peritonitis was manifested by cloudy dialysate effluent in 92.9%, abdominal pain in 85.7%, fever in 28.6%, and presence of more than 100 WBC/cmm in eff- .luent fluid in 100%. The culture positive rate of cffluent was 25. 0% CAPD catheters were removed Jue to persistent peritonitis in two cases, catheter malposition in one case, and inconvenience in one case.
3) In one case, intraperitoneal bleeding and cat- heter obstruction was treated with intraperitoneal urokinase administration, and in another case, poor drainage resulted from catheter displacement due to paralytic ileus was treated by Levine tube dec- ompression, which resulted in good catheter posi- tion and function.