Korean Journal of Nephrology 1996;15(4):534-539.
소아에서의 지속성 외래 복막투석 (CAPD) 의 임상적 고찰
최원규 , 권민중 , 이재승 , 김병길
Abstract
CAPD has established itself as an altemative therapeutic modality to hemodialysis in the treatment of patients with e@nd-stage renal disease. Especially in children, many of the advantages originally reported with the use of CAPD have been reported with large population studies. This includes ease of training and management, no requirement of repeti- tive venopuncture, less restriction of diet, stable salt and water balance, ease of blood pressure control. Clinical studies carried out on the 29 cases of CAPD who had been treated during 10 years in Severance hospital. The following results were obtained: Nine- teen cases were males and ten cases were females, with male to female ratio of 1.9: 1. The mean age of the patients was 12.9±3.1 years old. The original renal diseases of ESRD were proven in 22 cases. The comon renal disesaes were reflux nephropathy, chronic glomerulonephritis and focal segmental glo- merulosclerosis each in 4 cases. Other diseases were Henoch-Schonlein purpura nephritis in 2 cases, hemolytic uremic syndrome in 2 cases, and Alport syndrome, Ig A nephropathy and Lupus nephritis were one case respectively. The mean duraton of CAPD was 16.1±19.9 months. Peritonitis was the most common complication whose incidence was 1.3 episode/patient-year. Other complications were exit site infection in 3 cases, obstruction in 3 cases, and leakage of dialysate in 3 cases, peritoneal adhesion, malposition and scrotal swelling were also found. The most common etiologic organism of peritonitis was staphyococcus coagulase negative and staphylo- coccus aureus was the next. Others were Pseudo- monas, Enterococcus species and E. coli. As increa- sing renal transplantation, CAPD in children has been more important as renal replacement therapy.
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