CONTINUOUS INTENSIVE PERITONEAL DIALYSIS (CIPD) FOR TREATMENT OF RENAL FAILURE IN MULTIPLE ORGAN FAILURE (MOF)

概要

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It is important to choose aseptic mechanical support for treatment of MOF cases, because they are so-called "immuno-compromised hosts". Usual mechanical renal support require a exocorporeal circulation which might cause an invasion of microbe into the patient. CAPD, a simple and closed system invented for home-dialysis, has been used for renal insufficiency of MOF cases, and the results are satisfactory. We call this new approach Continuous Intensive Peritoneal Dialysis; CIPD. In this study, we present the merits of CIPD in comparison with the usual methods. CIPD group showed excellently lower mortality rate (21.4%) despite the highest APACHE II score on admission. BUN, serum creatinine and catecholamine doses decreased significantly after CIPD introduction. We conclude that CIPD should be the first choice of mechanical renal support for MOF case whose host defence is compromised.
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