High flow peritoneal dialysis.

High flow peritoneal dialysis.
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高流量腹膜透析。

DOI:
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发表时间:
1994
期刊:
Advances in peritoneal dialysis. Conference on Peritoneal Dialysis
影响因子:
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通讯作者:
I. Martínez
I. Martínez
中科院分区:
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文献类型:
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作者:
J. Montenegro;O. González;R. Saracho;R. Aguirre;I. Martínez

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我们研制了一种较大管腔(最小内径3.25 mm)的延长式/持续非卧床腹膜透析器(Andy High Flow Set),并根据导管类型比较了两组年龄、性别和透析时间相近的稳定CAPD患者的腹透液流量。两组均使用两种不同的延伸/集合进行研究,即标准Andy和Andy高流量集合。Cruz导管/Andy高流量组合输液时间最短。改用大流量导管后,两种导管的流入时间均显著缩短,并且Tencent khoff导管/Andy组合的输液时间与Cruz/Andy组合的输液时间相近。同样,Cruz导管/Andy高流量组合的透析液流出率高于任何其他导管/组合(p=0.005)。这不仅在总的流出时间上明显,而且在前4分钟的体积/分钟上也是明显的(p=0.005)。所有患者在使用高流量系统进行透析交换时均未出现不适。这种Cruz导管/高流量装置的组合有效地减少了透析交换时间,受到患者的极大赞赏。
We have developed a catheter extension/continuous ambulatory peritoneal dialysis (CAPD) set (ANDY high flow set) of larger lumen (minimum internal diameter 3.25 mm), and compared peritoneal dialysate flow rates in two groups of 6 stable CAPD patients of comparable age, sex distribution, and time on dialysis according to type of catheter. Both groups were studied with two different extension/sets, standard ANDY and ANDY high flow set. The shortest infusion time was observed with the combination Cruz catheter/ANDY high flow set. The switch to a high flow set decreased significantly the inflow time of both types of catheter, and the infusion time of the Tenckhoff catheter/ANDY high flow combination approximated that of the Cruz/ANDY combination. Likewise, the dialysate outflow rates were highest with the Cruz catheter/ANDY high flow set than with any other catheter/set combination (p = 0.005). This was apparent, not only in the total outflow time, but also in the vol/min during the first 4 min (p = 0.005). None of the patients experienced discomfort during the dialysis exchanges with the high flow system. This combination of Cruz catheter/high flow set effectively reduces the dialysis exchange time and is very much appreciated by the patients.