間歇的腹膜潅流の経験

Abstract

Intermittent peritoneal dialysis with solution made by OTSUKA Seiyaku Co. was done on 5 patients with acute renal insufficiency and on 9 patients with chronic renal insufficiency. A total of 20 intermittent peritoneal dialysis was attempted and its results were discussed. An average decrease of 18.1 mg/dl of serum urea-N, 2.5 mg/dl of serum creatinine, 1.0 mEq/L of serum potassium and 2.7 mEq/L of serum phosphorus were found with one course of intermittent peritoneal dialysis. The average number of frequency, duration of dialysis and amount of solution used per one course were 16 times, 31 hours and 19 liters respectively. Serum sodium and chlorine were also improved. From the results, the intermittent peritoneal dialy s is appears to be inferior than Kolff Twin-Coil artificial kidney on dialytic efficiency of Urea-N and creatinine. It compares, however, favourably with the artificial kidney on the improvement of serum electrolytes, and it also gives less damage to patients and it has an advantage of simplicity of use on severe patients. The clinical use of intermittent peritoneal dialysis for the patient with renal insufficiency seems to be valuable.