Hypotension in Patients Undergoing Continuous Ambulatory Peritoneal Dialysis

Objective: To investigate the etiology, management and clinical outcome of the continuous ambulatory peritoneal dialysis (CAPD) patients with hypotensioa Methods:The baseline data, nutrition, adequacy of dialysis, heart function, treatment and outcome of hypotensive patients were analyzed and compared with those of the nonhypotensives on CAPD. Results: There was no significant difference in gender, mean age, dialysis duration and primary disease between the two groups. The differences in hemoglobin, serum albumin, triceps skin fold, urea clearance index, serum creatinine and blood urea nitrogen between two groups were not significant. Left ventricular ejection Fraction of the hypotensive patients was less than that of the control group. The patients in the hypovolemic group responded well to treatment. The mortality rate of hypotensive patients was higher than that of the nonhypotensives on CAPD. Conclusion:For CAPD patients, hypotension is attributed to hypovol-emia, heart failure, antihypertensive medications and other unclear causes. With effective prevention and cure of hypotension, the prognosis of CAPD patients can be improved.