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非卧床持续性腹膜透析(CAPD)治疗肾功衰竭,由于方法简单,疗效确切,可在家庭透析,因而得以迅速推广.我院用CAPD治疗急、慢性肾功衰竭85例,效果满意,现报告如下: 临床资料:本组85例,男56例,女29例,年龄11～68岁.急性肾衰10例:庆大霉素中毒4例,异型输血、炎痛息康中毒、溶血性尿毒证综合征、胆系感染性休克、产科感染性休克、静脉在射葡萄糖发热反应各1例.慢性肾衰75例慢性肾小球肾炎70例;糖尿病肾病、肾结核、肾盂肾炎、肾动脉狭窄、紫癜性肾炎各1例.慢性肾衰透析前均为终末期尿毒症,少尿或无尿67例,水肿59例,高血压62例,心力衰竭53例,心包积液18例,高血钾症9例,酸中毒64例,昏迷9例,消化道出血8例,“B”型超声探查双肾均有萎缩.透析前平均血红蛋白51g/L,BUN61.4m
Ambulatory continuous peritoneal dialysis (CAPD) treatment of renal failure, due to the simple method, the exact effect of dialysis in the home, which can be rapidly promoted. Our hospital with CAPD treatment of acute and chronic renal failure in 85 cases, the results are satisfactory, the report As follows: Clinical data: The group of 85 patients, 56 males and 29 females, aged 11 to 68. 10 cases of acute renal failure: 4 cases of gentamicin poisoning, heterotaxic transfusion, inflammatory pain, Hikvision poisoning, hemolytic uremic Card syndrome, biliary septic shock, obstetric septic shock, venous injection of glucose fever in 1 case.Chronic renal failure 75 cases of chronic glomerulonephritis in 70 cases; diabetic nephropathy, renal tuberculosis, pyelonephritis, renal artery stenosis , Purpuric nephritis in 1. Chronic renal failure before dialysis were end-stage uremia, oliguria or anuria in 67 cases, edema in 59 cases, 62 cases of hypertension, heart failure in 53 cases, 18 cases of pericardial effusion, high blood 9 cases of potassium disease, acidosis in 64 cases, coma in 9 cases, 8 cases of gastrointestinal bleeding, “B” type ultrasound probe both kidneys atrophy .Pre-dialysis average hemoglobin 51g / L, BUN61.4m