[Peritoneal dialysis in the treatment of acute renal insufficiency]

106 patients with acute renal failure (ARF) treated with peritoneal dialysis (PD) for the last 15 years (except for postrenal ARF treated only with HD, or ARF with conservative treatment) were analyzed. The commonest causes were sepsis (3), hemorrhagic fever (17) and complications of some internal or surgical disease (28). ARF appeared more frequently in older ages (> 50 y). Some causal diseases had closer relationship with sex like sepsis (22 women vs 8 men) and hemorrhagic fever (16 men vs 1 woman). The treatment was started on time (2-3 day after onset of ARF). In most of the patients stabilization of uremic symptoms was achieved in five days (average). The duration of oliguric phase, polyuric phase and treatment with PD where closely related to the causal disease. Mortality of ARF was 60% in patients with causal disease. Mortality of ARF was 60% in patients with surgical or internal complications, in patients with sepsis and 20-30% in others (complications during ARF were most frequently observed in patients with sepsis). Hemodialysis was used in severe cases and we were unable to determine its role in survival of patients with ARF.