|
| CAPD중 발생한 우측 흉감삼출의 흉막유착을 이용한 치험 1예 |
| 이진홍 , 김동윤 , 이병철 , 김민철 |
|
|
| Abstract |
|
Recurrent massive hydrothorax complicating CAPD has been considered a contraindication to continuing peritoneal dialysis. In CAPD population this problem has generally required a change of dialytic modality. Intermittent peritoneal dialysis or talc poudrage has been attampted to ameliorate the problem but has met with limited success. In 1985, Benz et al reported a successful case of intra- pleural instillation of tetracycline to induce a pleural symphysis and prevent recurrence of peritoneal dialysis- related hydrothorax in a patient who refused any alter- native mode of dialysis. Thereafter there has been no report about succssessful treatment at home and abroad. We are now reporting one case of successful treat- ment with tertracycline pleurodesis of right-sided hydrothorax complicating CAPD. In this patient, Tenckhoff catherter was not removed and the patient has performed his CAPD satisfactorily in the absence of dyspnea. Chest X-ray performed on Sep 29, 1988 (7 months following procedure) reveals clear lung fields and no hydrothorax. |
|
PDF Links
Download Citation
