It is reported on a 4-year chronic peritoneal dialysis due to decompensated retention of substances normally contained in the urine in chronic pyelonephritis. Under a treatment regimen of 3.6 dialyses with 20 1 of wash each satisfying values of creatinine, haemoglobin and total protein in the serum were found. Further a vast normalisation of the blood pressure could be achieved. A series of complications partly repeatedly appearing could be treated successfully. By a diet rich in protein and careful use of the peritoneal dialysis catheter the most dangerous complications of the peritoneal dialysis, loss of protein and peritonitis, did not represent a serious problem.
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