作者报告了持续不卧床腹膜透析(CAPD)治疗难治性心力衰竭3例。原发病分别为二尖瓣和三尖瓣联合病变、主动脉瓣置换术后及严重冠心病,均有全心衰竭伴腹水和全身水肿,已高枕卧床数月,大量速尿用至1克无效。腹腔置入Tenckhoff导管进行CAPD,初每6小时交换液体一次,体重稳定(约需4周)后,每日交换液体3次,其中至少交换一次高渗透析液(4.25％葡萄精透析液)。 The authors report three cases of refractory heart failure treated with continuous ambulatory peritoneal dialysis (CAPD). The primary disease were mitral and tricuspid valve joint disease, aortic valve replacement and severe coronary heart disease, with heart failure with ascites and systemic edema, has been lying in bed for months, a large number of furosemide to 1 g invalid. Intraperitoneal Tenckhoff catheter for CAPD, the first exchange of fluid every 6 hours, stable body weight (about 4 weeks), the daily exchange of fluid 3 times, with at least once exchange of hypertonic solution (4.25% grape juice dialysate).