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1992-1996 YILLARI ARASINDA CAPD TEDAVİSİ UYGULANAN HASTALARIN KLİNİK VE LABORATUAR BULGULARI AÇISINDAN DEĞERLENDİRİLMESİ

THE EVALUATION OF CLINICAL AND LABORATORY FINDINGS OF THE PATIENTS ON CAPD TREATMENT BETWEEN 1992-1996

Journal Name:

  • Türk Nefroloji, Diyaliz ve Transplantasyon Dergisi

Publication Year:

  • 1997

Key Words:

Keywords (Original Language):

Author NameUniversity of AuthorFaculty of Author
Abstract (2. Language): 
In this study 30 patients with end stage rena disease were discussed in point of clinical, laboratory outcomes, adequecy and complications who underwent CAPD treatment during the last 4 years. 16 female, 14 male patients were followed up 52.46+23.46 weeks in average and their mean age was 54.16±13.15 years. Their serum BUN, creatini-ne, uric acid, calcium, phosphorus and electrolyte levels were controlled properly. Their clinical outcomes were excellent and most of them returned to their previous life. Uremic symptoms disappeared. The control of hypertension became easy, even some patients stopped using antihypertensive drugs. Anemia were treated with EPO in only 19 patients; the other 11 patients hematological values became normal without using any treatment. Hypoalbuminemia and malnutrition were not a problem during the follow up period. Hyperlipidemia called attention, but renal osteodystrophy and neuropathy did not seem to cause any problem during this period of time. Peritonitis was still the most serious problem we had to deal. We experienced 1.5 peritonitis attacks every year. The most common responsible agent was staphylococcus aureus (16.3%). As a result; 3 of our case was died, 2 of them had cerebrovascular accident, the other one had fungal peritonitis. 3 out of 30 returned to hemodialysis treatment because of fungal peritonitis. 2 received renal transplantation. The rest of them continue to follow up. Even though treatment has a lot of advantages, peritonitis still keeps its place as a serious complication in our country. The education of patients and its family, the relationship and communication between patients, doctors, nurses and other workers seems very important subjects to lower this complication.
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Abstract (Original Language): 
Bu çalışmada son 4yıl içinde, kliniğimize başvuran ve CAPD (Ayaktan Devamlı Periton Diyalizi) endikasyonu konulan 30 son dönem böbrek hastası¬nın klinik ve laboratuar muayene sonuçları, diyaliz yeterliliği, karşılaşılan komplikasyonlar incelendi. Olgularımızın 16'sı kadın,14'Uerkekti. Yaş ortalamaları 54.16±13.15 olup her olgu ortalama 52.46±23.46 hafta izlenmiştir. Olgularımızın BUN, kreatinin, ürik asit, kalsiyum, fosfor ve elektrolit de¬ğerleri son derece iyi kontrol altına alınmıştır. Klinik olarak iyiye giderken günlük yaşamlarını idame edebilir hale gelmişlerdir. Üremik semptomları bü¬yük ölçüde ortadan kalkmıştır. Hipertansiyon kontro¬lü kolay hale gelmiş ve hatta bazı hastalarda tedavi tamamı ile kesilmiştir. Hastalarımızın 19'unda anemi tedavisi için EPO kullanmaya gereksinim duyuldu, geriye kalan 11'inde ise anemi tedavisiz ortadan kalk¬tı. İzlenme süresi içinde hipoalbuminemi ve malnutrisyon gözlenmedi. Olgularımızda hiperlipidemi sorun olurken, osteodistrofi ve nöropati ciddi bir sorun yaratmamıştır. Peritonit önemli bir komplikasyon olmaya devam etmiş; yılda 1,5 kez gibi sıklığını korumuştur. En sık rastlanan sorumlu ajan stafilokokkus aureustur (%16.3). Sonuçta, olgularımızın 3'ü kaybedildi, bunlardan 2'si serebrovasküler atak (SVA) , 1 tanesi mantar peritoniti ile oldu. 3 olgumuz hemodiyaliz tedavisine geri döndü, bunlar mantar peritoniti nedeni ile idi. 2 olgumuza renal transplantasyon yapıldı. Geriye kalan 22 olgu halen izlenmektedir. CAPD tedavisinin bir çok üstünlüklerinin yanı sı¬ra ülkemizde henüz peritonit komplikasyonu ciddiyetini korumaktadır. Bu nedenle hasta ve yakın¬larının eğitimleri, hasta, hekim, hemşire ve diğer ça¬lışanlar arasındaki yakınlık ve iletişimin geliştiril¬mesine önem verilmesi gerektiği kanısındayız.
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  • 1-2
43-48
  • Turkish

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