MANAGEMENT OF FLUID OVERLOAD IN INFANTS BY TIDAL PERITONEAL-DIALYSIS - IS THERE A BENEFIT COMPARED WITH CONTINUOUS CYCLING PERITONEAL-DIALYSIS

被引：8

作者：

FISCHBACH, M

DESPREZ, P

HAMEL, G

DONNARS, F

GEISERT, J

机构：

[1] Hôpital de Hautepierre, Les Hôpitaux Universitaires de Strasbourg, Strasbourg Cedex, 67098, Service de Pédiatrie 1

来源：

PEDIATRIC NEPHROLOGY | 1994年 / 8卷 / 05期

关键词：

ULTRAFILTRATION; PERITONEAL DIALYSIS; TIDAL PERITONEAL DIALYSIS; CONTINUOUS CYCLING PERITONEAL DIALYSIS;

D O I：

10.1007/BF00858140

中图分类号：

R72 [儿科学];

学科分类号：

100202 ;

摘要：

Dialysed infants are sometimes characterized by a hyperpermeable peritoneal state. In this situation decreasing dwell time and/or increasing dialysate tonicity are usually proposed to achieve adequate ultrafiltration (UF). We have investigated UF capacity under different peritoneal dialysis modalities in three infants. UF was not obtained with isotonic continuous ambulatory peritoneal dialysis (CAPD), and was only achieved with short dwell times and hypertonic CAPD. For the prescription of automated peritoneal dialysis, a shorter dwell time of hourly sequences is needed, which consequently decreases the phosphate diffusion time. Continuous cycling peritoneal dialysis with sequences of 1 h allowed efficient UF [UF/glucose absorption (UF/G) 4.2+/-0.9] but the dialysate/plasma (D/P) phosphate ratio was low (0.47+/-0.12). In contrast, tidal peritoneal dialysis gave a better UF/G ratio (6.8+/-0.7) without a decrease in the D/P phosphate ratio (0.64+/-0.18).

引用

页码：598 / 600

页数：3

共 9 条

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