[Chronic peritoneal dialysis in childhood].
Peritoneal dialysis, used initially (1923) for the management of acute renal failure, became obsolete very soon, because of its infectious complications. Due to this and because of the successful advent of hemodialysis with the artificial kidney in the 40's, peritoneal catheter of indefinite tolerance came into use. This circumstance allowed the use of peritoneal dialysis in the management of chronic uremia. At the onset, it was used intermittently within the hospital and the dialysant solutions were changed by the medical staff. Subsequently, a continuous ambulatory scheme developed, where 4 to 5 changes are dialy made outdoors by the patient or his relatives which cuts down costs and allows more freedom of action and better feeding. Peritonitis still remains as a disadvantage; however, its incidence has dropped because of technical improvements of the equipment. It is concluded that peritoneal dialysis, but specially with the ambulatory scheme, offers a great rehabilitation potentiality for the uremic child.
D002648:Child; D006801:Humans; D006982:Hypertonic Solutions; D010530:Peritoneal Dialysis / Q000009:adverse effects / Q000295:instrumentation; D010538:Peritonitis / Q000209:etiology; D014511:Uremia / Q000628:therapy*
D006982:Hypertonic Solutions
Diálisis peritoneal crónica en la infancia.