關鍵字：2009,ISPD,腹膜透析,時長,包裹性,腹膜硬化癥,診斷,處理,透析充分性,退出,

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簡介：One of the potential, although infrequent, complica-tions of long-term PD is encapsulating peritoneal scle-rosis (EPS); it is associated with high morbidity related to bowel obstruction and malnutrition. Reported mor-tality is around 50%, usually within 12 months of the diagnosis (4,5), although not all deaths are due to EPS itself (6). The first reports of EPS were from Japan and Australia (4,7,8); more recently, there has been an in-creasing number of reports of EPS in Europe (9–11). Some nephrologists have suggested that there should be a time limit to PD to prevent patients from developing this po-tentially devastating complication.