Peritoneal equilibration test(PET) and lymphatic absorption(LA) using albumin in children on peritoneal dialysis.

概要

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We assessed peritoneal function by the peritoneal equilibration test (PET) and lymphatic absorption (LA) in nine patients, eight boys and one girl undergoing peritoneal dialysis. Their average age was 12 years (5-19yr). The results of PET in these children were similar to those of PET in adults obtained by Twardowski et al. LA measured by albumin was 0-952ml (average 265±328ml) per 4 hours. Mean LA volume was 46ml in the five children who had LA less than 100ml per 4 hours and 539ml in the four children who had LA per 100ml per 4 hours. There was no correlation between LA and ultrafiltration volume. The three patients with poor drainage volume who required 2.5% glucose dialysate more than 3 times daily or 4.25% glucose had lower D4/D0, higher D4/P and larger LA volume than those with good drainage. Six of the nine patients complained of abdominal pain when albumin was infused into their peritoneal cavity. We recommend the use of some other substance which does not cause abdominal discomfort during infusion into peritoneal cavity to measure LA.
社団法人日本透析医学会の論文