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在CAPD治疗过程中,一般文献主张在感染发生后持续应用强有力抗菌素治疗十天以上感染仍未控制,即考虑停止透析并拔除透析管。我科自1989年以来对CAPD过程中发生的11例慢性腹膜炎采取多种有效的综合措施,除一例因病程太长(因家庭腹透感染延误治疗)合并严重的肺部感染而死亡外,其余10例均在未拔除透析管的情况下控制了感染而使CAPD得以顺利进行。首先,我们不主张轻易地拔除透析管。因为随着医药事业的发展,各种新型的强有力的抗菌素不断产生,不妨多试几种。我们常用的抗菌素有:氨苄青霉素。羧苄青霉素、氧哌嗪青霉素、卡那霉素、丁胺卡
In the course of CAPD treatment, the general literature advocates that the continuous application of potent antibiotics after infection for more than ten days has not yet been controlled. That is to consider stopping the dialysis and removing the dialysis tube. Since 1989, our department has taken a variety of effective and comprehensive measures for 11 cases of chronic peritonitis in CAPD. Except for one case died of long lung infection (due to delayed treatment of family trans-abdominal infection) with severe pulmonary infection, the rest All of the 10 cases controlled the infection without removing the dialysis tube so that the CAPD could be carried out smoothly. First, we do not advocate easy removal of the dialysis tube. Because with the development of the pharmaceutical industry, a variety of new powerful antibiotics continue to produce, may wish to try several. Our commonly used antibiotics are: ampicillin. Carbenicillin, piperacillin, kanamycin, butylamine