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| 지속서 휴대용 복막투석 210예의 합병증에 대한 고찰 |
| 하봉준 , 최영식 , 김수방 , 양상호 , 박상은 , 박요한 , 이시래 |
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| Abstract |
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Clinical studies were carried out on the 210 cases on CAPD who had been treated from April 1983 to Decem- ber 1988. The following results were obtained. 1) The mean age was 41.4 years and the male to female ratio was 1, 1:1. The causes of renal failure were chronic glomerulonephritis (74.3%), diabetic ne- phropathy (9.5 %), hypertensive nephrosclerosis (7.6%) and others. 2) The incidence of peritonitis was 1 26 episode/ patient/year, and the incidence of tunnel infection and catheter exit site infection was 0.27 episode/patient/ year each. The positive culture rate of effiuent was 40. 8 Z p, and the causative organisms were S. epidermidis (25.8%), S. aureus (14.5%), Candida (12.9%) and others. 3) Catheter related complications were catheter exit site infection, tunnel infection and catheter malposition in that order of numbers. Medical complications were transient hypotension, mental depression, hearing distur- bance and othera 4) Catheters were removed in 110 cases and the causes were fungal peritonitis (20.9%), peritonitis resistant to antibiotics (19.1%), the transfer to renal transplantation (27.3%) and recovery of renal function (2.7%). 5) Patient survival rates were 91% at one year, 83% at three years and 82% at five years. Catheter survival rates were 78% at one year, 52% at three years and 40% at five years. |
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