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CAPD용도관 (用導管) 의 외과적 (外科的) 삽입술 (揷入術) 및 초기관리 (初期管理) |
문철 (文澈) ,이희발 (李熙勃) |
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Abstract |
A total of 548 peritoneal catheters were placed in 276 patients with end-stage renal disease during a period of 5 years between 1982 and 1987 at Soon Chun Hyang University Hospital. The actuarial catheter survival was 65% and 50% at 6 and 12 months, respectively. Of the 330 catheters removed because of various complications 156 (47%) failures occurred in the first 3 months of the CAPD with 85 (26%) failing in the first 2 weeks. In the first 2 weeks obstruction was the most frequent cause of failures (60 of 85 failures) and during the next 2 1/2 month period peritonitis (46 of 71 remov- al) was the major cause of catheter removal. Prevention of obstruction in the first 2 weeks and peritonitis thereafter are the key for better catheter survival. Surgical techniques of catheter insertion are de- scribed. |
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