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Peritoneal dialysis in acute renal failure.

机译:腹膜透析治疗急性肾功能衰竭。

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摘要

Given the discussion so far, it might be apparent that factors beyond efficacy have dictated the decline in the use of PD for ARF. The importance of these factors should not be underestimated. They might be related to the perceived "labor intensive" aspect of PD, fear of a malfunctioning catheter (which in some instances may be real), insufficient exposure to PD during nephrology training, and, last, the comfort offered by the technology used for HD. Such psychological barriers are difficult to overcome, much more so than technical barriers (which can be and have been overcome). Only a concentrated effort by the PD community in educating the general nephrologist concerning the feasibility of PD in ARF, better clinical trials that harness the full potential of PD, and careful patient selection for the use of PD will bring PD back to the mainstream in the treatment of ARF.
机译:鉴于目前为止的讨论,很明显,超出疗效的因素已经决定了PD用于ARF的下降。这些因素的重要性不容小under。它们可能与PD的“劳动密集型”方面,担心导管发生故障(在某些情况下可能是真实的),肾病学培训期间未充分暴露于PD以及最后用于该技术的舒适性有关。高清这些心理障碍很难克服,远比技术障碍(可以克服并且已经克服)更重要。 PD社区只有集中精力来教育普通肾脏病医生有关ARF中PD的可行性,更好地利用PD潜力的更好的临床试验以及对PD使用的谨慎患者选择,才会使PD回到主流。 ARF的治疗。

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