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CZECH MEDICAL ASSOCIATION J. Ev. PURKYNĚ |
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Česky / Czech version | Vnitřní lékařství, 50, 2004, č. 7, s. 503 - 506 |
Continuous Ambulatory
Peritoneal Dialysis and Respiratory Pulmonary Functions Mydlík M.1, Štubňa J.2, Tóth Š.2, Derzsiová K.1, Molčányiová A.3 |
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Summary: Acidobasic balance and respiratory pulmonary functions were examined in 15 patients with
chronic renal insufficiency during continuous ambulatory peritoneal dialysis (CAPD) using a dialysis
solution containing 1.5 % or 2.5 % of glucose. Patients did not suffer from any pulmonary
disease nor ischemic heart disease. Biochemical indicators of acidobasic balance were in reference
range or on its lower margin. Respiratory pulmonary functions were in tolerance except
maximum expiratory flow volume at 50 % and 25 % of vital capacity (MEF50 and MEF25) and
except diffusion lung capacity (DLCO) which were decreased. Decrease of maximum expiratory
flow could be caused by a loss of elasticity of pulmonary parenchyma and by a beginning increased
resistance in peripheral pulmonary ways. Decreased DLCO was identified in majority of
patients and was caused by anaemia and a minimal interstitial pulmonary edema. Use of a single
peritoneal dialysis with dialysis solutions of various glucose concentrations did not have any
significant effect on acidobasic balance markers nor pulmonary respiratory functions.
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