Continuous ambulatory peritoneal dialysis in a patient with diabetic chronic renal failure and hemophilia / 대한내과학회지
Korean Journal of Medicine
;
: 96-99, 2009.
Artigo
em Coreano
| WPRIM
| ID: wpr-229426
ABSTRACT
Long-term dialysis is undertaken infrequently in patients with hemophilia and chronic renal failure, and there are no definite guidelines for the treatment of end-stage renal disease in hemophiliacs. We report a case of peritoneal dialysis in a hemophiliac with diabetic chronic renal failure. A 46-year-old man with severe hemophilia was admitted to our hospital for decreased visual acuity and the management of uremia. After vitrectomy, he was started on hemodialysis to treat his uremic bleeding diathesis. To avoid bleeding through a vascular access site, peritoneal dialysis therapy for long-term treatment was proposed. A surgical peritoneal catheter was introduced with simultaneous factor VIII administration. In the seven subsequent months, no episodes of intraperitoneal or retroperitoneal hemorrhage have been observed. Continuous ambulatory peritoneal dialysis may be a relatively safe dialysis modality without danger of bleeding in hemophiliacs.
Texto completo:
DisponíveL
Índice:
WPRIM (Pacífico Ocidental)
Assunto principal:
Uremia
/
Vitrectomia
/
Fator VIII
/
Acuidade Visual
/
Diálise Renal
/
Diálise Peritoneal
/
Diálise Peritoneal Ambulatorial Contínua
/
Diálise
/
Suscetibilidade a Doenças
/
Catéteres
Tipo de estudo:
Guia de Prática Clínica
Limite:
Humanos
Idioma:
Coreano
Revista:
Korean Journal of Medicine
Ano de publicação:
2009
Tipo de documento:
Artigo
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