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腹膜透析与血液透析治疗急性肾功能衰竭的比较

Comparison of peritontal dialysis and hemodialysis in the teatment of acute renal failure
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摘要 目的:评价腹膜透析(PD)治疗急性肾功能衰竭(ARF)的疗效及适应征。方法:66例急 性肾衰患者分为两组,腹透组24例,血透组42例,比较两组患者的临床资料、治疗方法和预后。结 果:腹透组和血透组少尿期持续时间分别为(23.1±14.4)天和(19.8±10.4)天(P>0.05),病死率 分别为25%和31%(P>0.05),其中“高分解代谢”病死率分别为27.2%和25%(P>0.05),腹透 组和血透组肾功能完全恢复者分别为 63%和 64%(P>0.05)。结论:腹膜透析是治疗急性肾功能 衰竭的有效方法之一,且也适用于“高分解代谢”及有并发症的急性肾衰。 Objective: To evaluate effects and indication of peritontal dialysis in the therapy of acute renal failures (ARF). Method: 66 cases of ARF were divided into two groups. Peritontal dialysis 24 cases, hemodialysis 42 cases. Compared the clinical data,therapeutic method and prognosis of these two grous. Result:Duration of oliguria in peritontal dialysis and hemodialysis were (23.1±14.4 ) days and (19. 8±10.4) days respectively (P>0.05). Death rates were 23% and 31 % respectively (P>0.05 ). Among them'high resolving metabolism' in death rate were 27.2 % and 25% respectively (P>0.05). Conclusion: Peritontal dialysis is one of the effective method in the therapy of ARF. It also adapts to 'high resolving emtoblism' and other complications.
出处 《透析与人工器官》 2001年第2期10-12,共3页 Chinese Journal of Dialysis and Artificial Organs
关键词 腹膜透析 血液透析 治疗 急性肾功能衰竭 比较 acute renal failure, peritontal dialysis, hemodialysis
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参考文献4

  • 1叶任高 沈清瑞.肾脏病诊断与治疗学[M].北京:人民卫生出版社,1995.271-280.
  • 2叶任高,丁国印.急性肾功能衰竭的透析疗法[J].中国实用内科杂志,1996,16(6):329-330. 被引量:21
  • 3Churchill DN. Can peritoneal dialysis be equivalent to (or better than) optimal hemodialysis? Semin Dial, 1996,9 : 240.
  • 4Keshariah P. Can peritoneal dialysis be equivalent to (or beter than)optimal hemodialysis? Semin Dial,1996,9:243.

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