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埼玉医科大学雑誌 第30巻 第2号 (2003年4月) 155-162頁 ◇論文(図表を含む全文)は，PDFファイルとなっています． PDF (3.8 MB) 原 著 腹膜透析患者の予後検討 −心血行動態に焦点を置いた5年間の経過観察− 正田 純子 埼玉医科大学腎臓内科学教室〔平成15年3月10日 受付〕 The Clinical Prognosis of the Patients Undergoing Continuous Ambulatory Peritoneal Dialysis (CAPD) -5 Years Retrospective Study Focusing on Cardiovascular Status- Junko Shoda (Department of Nephrology, Saitama Medical School, Moroyama, Iruma-gun, Saitama, 350-0495 Japan) Continuous ambulatory peritoneal dialysis (CAPD) was developed by Popovich and Moncrief in 1975, and gradually spread over the world. There are about 9000 patients receiving CAPD in our country, and it is far small number comparing with other countries or patients receiving hemodialysis. The reasons of that have been discussed as social, customary, and economical characteristics in medicine in Japan. Therefore, almost no institution exists which manages over 100 patients receiving CAPD except our hospital. Twenty-nine patients starting CAPD in 1997 were observed retrospectively for 5 years in our hospital. Eleven of 29 patients withdrew from CAPD for the reason of repeated peritonitis, heart failure, cerebrovascular attack, dialysis failure, and so on. However, there is no predictive factor for withdrawing from CAPD at the start. Peritonitis, diabetes mellitus, and ages over 65 years old that have been thought as a risk of technical or life survival in the patients receiving CAPD, did not effect on the technical or life prognosis in our patients. Our clinical data was not completely compatible with the previous report from other countries. However, the clinical data from 5 years observation of the patients started CAPD in the same period, and managed in one institute with the united clinical protocol, would have a value to the area of peritoneal dialysis in Japan. Keywords: clinical course, peritoneal dialysis, prognosis J Saitama Med School 2003; 30:155-162 (Received March 10, 2003)
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