혈우병이 동반된 당뇨병성 만성 신부전 환자에서 복막투석 경험 1예 (Continuous ambulatory peritoneal dialysis in a patient with diabetic chronic renal failure and hemophilia)

서지정보

· 발행기관 : 대한내과학회
· 수록지 정보 : 대한내과학회지 / 76권 / 1호 / 96 ~ 99페이지
· 저자명 : 최현주, 김민옥, 최소연, 김영근, 박상현

초록

혈우병은 혈액 응고인자의 결핍으로 출혈경향을 갖는 선천성 유전질환이다. 혈우병 환자가 만성 신부전으로 진행하는 경우는 드물게 발생하며, 신대체요법을 필요로 하는 경우 실제적인 치료지침은 없는 실정이다. 저자들은 혈우병 환자에게서 합병증 없이 복막투석 도관삽입시술 후 복막투석을 시행하고 유지한 예를 경험하였기에 보고하는 바이다.

영어초록

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.

참고자료

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