Periton Diyalizi ve Komplikasyonları
Abstract
This article covers 80 cases that were subjected to peritoneal dialysis in the Department of Internal Medicine at the Faculty of Medicine of A.U. in the last four years. 28 of these were acute and 52 were chronic renal failure. Of the 28 cases showing acute renal failure, 17 were cured and 11 resulted in death. In the 52 cases of chronic renal failure, 24 were cured and 28 were dead. The complications leading to death were peritonitis in 8 cases, left heart failure in 6 cases, shock in 4 cases and hypertensive encephalopathy in 1 case. The cause of death in the other cases resulting in death was uremia. The article also included details of a rare abdominal gas gangrene case that occurred during dialysis. As a result, the obtained. Based on the results, it was stated that although complications have decreased with the developments in peritoneal dialysis, the extracorporeal hemodialysis method would be preferred over peritoneal dialysis due to its greater effectiveness, fewer complications, easier application and indisputable indication in poisoning. However, in cases where extracorporeal dialysis is not possible, peritoneal dialysis is of vital importance, especially in acute renal failure, by approximately 50%.
References
- 1 — Barry, K. G. and Scwartz, F. D.: Peritoneal dialysis. Pediat. Clin. N. Amer. 11: 593 - 609, 1964.
- 2 — Berlyne, G.M., Lee, H. A, Ralston, A. J. and Woolcock, J. A.: Pulmonary complications of peritoneal dialysis. Lancet, 2: 75-78, 1969.
- 3 — George Dunea, M.B„ M.R.C.P. (Lond.; Edin.) Peritoneal dialysis and Hemodialysis. Med. Clin. N. America, 55: 155-172, 1971.
- 4 — Miller, R.B. and Tassistro, C.R.: Peritoneal dialysis. New Eng. J. Med., 281: 945-948, 1973.
- 5 — Nolph, K. D, Hano, J. E. and Teschan, P. E.: Peritoneal Sodium transport during hypertonic dialysis. Ann. intern. Med. 70: 631 - 941, 1969.
- 6 — Palmer, R.A., Newel, J.E., Gray, E.J.and Quinton, W.E.: Treatment of chronic renal failure by prolonged peritonean dialysis. New Eng. I. Med., 274: 248-254, 1966.
- 7 — Riog010si,R.S., Maher, J.F. and Schreiner; G.E. intestinal perforation during peritoneal dialysis. Ann. intern. Med., 70: 1013-1015, 1969.
- 8 — Swartz, C., German, P., Kazem, I. and Brady, L. W.: The acute. hemodynamic and pulmonary effekts of peritoneal dialysis. Trans. Amer. Soc. Artf. intern. Organs, 15: 361 - 372, 1969.
- 9 — Schwartz, F. D, Kollmeyer, J., Dunea, G. and Kark, R. M.: Prevention of infection during peritoneal dialysis. J.A.M.A., 199: 79-81, 1967.
- 10 — Weston, R. E. and Roberts, M.: Clinical use of stylet-catheter for peritoneal dialysis. Arch. Intern. Med., 115: 65 - 66,. 1965.
Peritoneal Dialysis and Its Complications
Abstract
Bu makalede son dört yılda A.Ü. Tıp Fakültesi İç Hastalıkları Kürsüsü'nde periton diyalizine tâbi tutulan 80 vaka ele alındı. Bunlardan 28'i akut, 52'si kronik böbrek yetmezliği idi' Akut böbrek yetmezliği gösteren 28 vakadan 17'si şifa, 11'i ölümle neticelendi. 52 kronik böbrek yetmezliği vakasında ise 24 salah, 28 ölüm husule geldi. Ölüme yol açan komplikasyon olarak 8 vakada peritonit, 6 vakada sol kalp yetmezliği, 4 vakada şok ve bir vakada da hipertansif ensefalopati görüldü. Ölümle sonuçlanan diğer vakalarda ölüm nedeni üremi idi. Makalede ayrıca ender görülmesi sebebile diyaliz esnasında meydana gelen bir abdominal gazlı gangren vakasının detayına yer verildi. Sonuç olarak ta elde edilen. neticelere istinaden, periton diyalizinde gelişmelerin kaydedilmesile komplikasyonların azalmasına rağmen, ekstrakorporal hemodiyaliz metodunun daha etkili oluşu, daha az komplikasyona yol açması, daha kolay tatbiki ve zehirlenmelerde tartışılmaz indikasyonu nedenlerile periton diyalizine tercihinin uygun olacağı, bununla beraber ekstrakorporal diyalizin mümkün olmadııl hallerde periton diyalizinin bilhassa akut böbrek yetmezliğinde takriben % 50 oranında hayati mahiyette önem belirtildi.
References
- 1 — Barry, K. G. and Scwartz, F. D.: Peritoneal dialysis. Pediat. Clin. N. Amer. 11: 593 - 609, 1964.
- 2 — Berlyne, G.M., Lee, H. A, Ralston, A. J. and Woolcock, J. A.: Pulmonary complications of peritoneal dialysis. Lancet, 2: 75-78, 1969.
- 3 — George Dunea, M.B„ M.R.C.P. (Lond.; Edin.) Peritoneal dialysis and Hemodialysis. Med. Clin. N. America, 55: 155-172, 1971.
- 4 — Miller, R.B. and Tassistro, C.R.: Peritoneal dialysis. New Eng. J. Med., 281: 945-948, 1973.
- 5 — Nolph, K. D, Hano, J. E. and Teschan, P. E.: Peritoneal Sodium transport during hypertonic dialysis. Ann. intern. Med. 70: 631 - 941, 1969.
- 6 — Palmer, R.A., Newel, J.E., Gray, E.J.and Quinton, W.E.: Treatment of chronic renal failure by prolonged peritonean dialysis. New Eng. I. Med., 274: 248-254, 1966.
- 7 — Riog010si,R.S., Maher, J.F. and Schreiner; G.E. intestinal perforation during peritoneal dialysis. Ann. intern. Med., 70: 1013-1015, 1969.
- 8 — Swartz, C., German, P., Kazem, I. and Brady, L. W.: The acute. hemodynamic and pulmonary effekts of peritoneal dialysis. Trans. Amer. Soc. Artf. intern. Organs, 15: 361 - 372, 1969.
- 9 — Schwartz, F. D, Kollmeyer, J., Dunea, G. and Kark, R. M.: Prevention of infection during peritoneal dialysis. J.A.M.A., 199: 79-81, 1967.
- 10 — Weston, R. E. and Roberts, M.: Clinical use of stylet-catheter for peritoneal dialysis. Arch. Intern. Med., 115: 65 - 66,. 1965.
Details
| Primary Language | English |
|---|---|
| Subjects | Internal Diseases |
| Journal Section | Articles |
| Authors | |
| Publication Date | December 31, 1976 |
| Published in Issue | Year 1976 Volume: 29 Issue: 4 |