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당뇨병신부전의 CAPD치험

Clinical Experienve with CAPD in Diabetics with End-Stage Renal Disease

대한의학협회지 1961년 4권 1호 p.67 ~ 69
박한철 (  ) - 한양대학교 의과대학 내과학교실

유재숙 (  ) - 한양대학교 의과대학 내과학교실
송준호 (  ) - 한양대학교 의과대학 내과학교실

Abstract


It is tendency that rate of diabetic origin in end-stage renal disease is increased in Korea, and CAPD is increasingly used form of maintenance therapy due to several benefits in spite of complications as peritonitis and protein loss.
Following results were obtained by performing CAPD in 7 patients of diabetic end-stage renal disease.
1) Control of blood pressure, edema, electrolyte imbalance were early become, and also doses of insulin seems to be become stable. During CAPD, improved cases of nutritional state and hemoglobin were increased. Incidences of peritonitis don´t seem to be increased than hemodialysis.
2) But among diabetics, it was felt that survival rate is decreased by inappropriate early control of peritonitis and calorie-protein deficiency in exchanges of peritoneal fluid by themselves due to disorder of central nervous system or instability of gastroinstestional tract and/or voiding difficulty by disturbance of autonomous nervous system.
3) It has been known that CAPD is the best method for diabetic end-stage renal disease. To the contrary, others reported that center dialysis is better results than that of CAPD, and so it is felt that method of therapy for diabetic renal failure is selectively determined. We suggest that self-control of peritonitis during CAPD is only possible in limited cases of aggressive patient or family.
4) It will be further studied how may be influenced to hyperlipidemia, visual disturbance, and residual renal function.

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