抄録
In its true sense of the word, CAPD cannot be defined as an artificial organ, for the process utilizes bilogical peritoneum as a dialysis membrane. When the ability to maintain the life of uremic patients is considered, however, it should be included in the family of artificial organs in a broad sense. Some characteristic aspects of CAPD as an artificial organ include (1) artificial vessel in view of the possibility to be performed in patients without blood access, (2) artificial pancreas in view of a favourable administration route of insulin in the patients of insulin-dependent diabetes induced chronic renal failure, (3) artificial endocrine organ in view of the ability to prevent delay of catch-up growth in pediatric uremic patients. Needless to say, the most important role is (4) artificial kidney.
The most remarkable characteristic of CAPD in comparison with dialysis, Hype artificial kidney is (1)low efficiency of diffusion and ultrafiltration, (2) continuous and persistency of the treatment mode and (3)biocompatibility. These merits of CAPD have resulted in the simplification of the modality and safety, bringing about lack of dysequilibrium syndrome, stability of cardiovascular system, easily obtainable high UFR, allowance. for liberal intake of food and water for patients.
The target of reserch and developement in the field of dialysis type artificial kidhas hitherto been high efficiency associated with complex mechanical apparatus and monitors. CAPD uncurtained some blind spots which is worth being incorporated into R-and-D of artificial organs. This paper intends to review those productive blind spots.
