CAJ | 학술논문

目的：探讨腹透相关性真菌性腹膜炎（ FP）易感因素及预后。方法回顾性分析20例次FP临床资料，与同期收治的腹透相关性细菌性腹膜炎（BP）比较，分析FP的易感因素及预后。结果腹透相关性腹膜炎共400例次，FP占5．0％；FP组血红蛋白低于BP组；FP组中，45％患者近1个月内有腹腔或全身使用抗菌药物史，高于BP组（15％）。20例次FP中1例治愈，15例拔管，4例自动出院。 FP组腹膜透析退出率及患者病死率均明显高于BP组。结论严重贫血，腹腔或全身使用抗菌药物是FP发生的高危因素，FP预后不良，尽早拔管可能降低病死率。
목적：탐토복투상관성진균성복막염（ FP）역감인소급예후。방법회고성분석20례차FP림상자료，여동기수치적복투상관성세균성복막염（BP）비교，분석FP적역감인소급예후。결과복투상관성복막염공400례차，FP점5．0％；FP조혈홍단백저우BP조；FP조중，45％환자근1개월내유복강혹전신사용항균약물사，고우BP조（15％）。20례차FP중1례치유，15례발관，4례자동출원。 FP조복막투석퇴출솔급환자병사솔균명현고우BP조。결론엄중빈혈，복강혹전신사용항균약물시FP발생적고위인소，FP예후불량，진조발관가능강저병사솔。
Objective To investigate the risk factors and outcomes of peritoneal dialysis related fungal peritonitis ( FP) .Methods FP episodes in 2008~2013 in our hospital were retrospectively reviewed.The clinical characteristics and outcomes were compared with those of bacterial peritonitis (BP) in the same period.Results In the 400 peritonitis reviewed, FP accounted for 5.0%.The hemoglobin in FP was significantly lower than that in BP.45%of FP episodes had a history of antibiotic use within one month, which was significantly higher than that in BP.Among the 20 FP patients, 1 was cured, 15 removed the catheter, 4 were discharged without cure.The mortality and the dropping out rate of PD in FP were significantly higher than those in BP.Conclusion Severe anemia and the use of antibiotics within 1 month are the risk factors of FP.FP will lead to high mortality and dropping out rate of PD.Early catheter removal can decrease the mortality of FP.