PDシステムと腹水濾過濃縮法を利用した難治性腹水治療(<特集>アフェレシス技術の進歩・普及・教育)

概要

論文の詳細を見る
Concentrated ascites reinfusion therapy (CART) is an effective treatment method relieving abdominal distension in refractory ascites patients and suppressing the loss of beneficial elements. There are few serious side effects and it is performed in numerous facilities, but it is true that there are side effects such as fever and chills. A considerable amount of ascitic cytokines exist in the purified ascites processed by CART and are said to be the cause of side effects when given intravenously. A PD catheter is inserted in refractory ascites patients in order to reduce the pain when collecting ascites and to reduce puncture risks. In addition, by returning the processed ascites to the peritoneal cavity via the PD catheter, the side effects of fever and chills have been avoided. The ascites management method using a PD catheter (PD with EU-H or Modified CART) is one treatment strategy for the management of refractory ascites and can contribute to the improvement of the QOL of refractory ascites patients.
日本アフェレシス学会の論文
2014-02-28