臨牀透析 Vol.28 No.5(4-7)


特集名 腹膜透析療法―ポストガイドラインの方向性
題名 課題と対策 (7) 小児
発刊年月 2012年 05月
著者 和田 尚弘 静岡県立こども病院腎臓内科
【 要旨 】 小児腹膜透析(PD)患児数は180名前後,新規導入は年間50名程度で,今後先行的腎移植の増加やわが国全体の少子化の影響により,さらに小児における新規導入は減少することが予想される.PD導入後も,合併症の少ない患児への腎移植への移行は積極的に進んでいる.一方で,腎以外の合併症を有する患児へのPD導入が増加し,合併している疾患による成長障害,移植や血液透析に移行できずPDの長期化,成人の移行への困難などが課題となる.
Theme Trend in Peritoneal Dialysis Therapy After Implementation of Japanese Society for Dialysis Therapy (JSDT) Peritoneal Dialysis Guideline
Title Pediatric PD
Author Naohiro Wada Department of Pediatric Nephrology, Shizuoka Children's Hospital
[ Summary ] The number of PD children consists of approximately 180 patients in Japan. Approximately 50 children have recently begun treatment. The number of pediatric PD patients is expected to decrease because of the implementation of pre-emptive renal transplantation, as well as reduced Japanese birth rates. The shift to providing kidney transplants for patients with little coexisting illness is a positive advancement in treatment. The introduction of PD for patients who have coexisting illnesses, other than kidney disease, is becoming more. These commonplace patients experience problems with growth failure, require prolonged PD and have difficulties transferring to adult care centers.
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