高效透析的效果及并发症

Effects and complications of high efficiency dialysis.

作者信息

Bosl R, Shideman J R, Meyer R M, Buselmeier T J, von Hartitzsch B, Kjellstrand C M

出版信息

Nephron. 1975;15(2):151-60. doi: 10.1159/000180506.

Abstract

Two and three Dow Cordis Hollow Fiber and Gambro Lundia artificial kidneys were used for high efficiency dialysis in large patients, intoxications, and for rapid ultrafiltration. BUN clearances of up to 240 ml/min were achieved. One episode of severe neuropathy occurred during high efficiency dialysis, and hypotensive episodes were more common. High efficiency dialysis has certain indications particularly in intoxication cases. However, because of possible side effects more experience is needed before its ultimate place in the treatment of uremia can be ascertained.

摘要

使用两台和三台陶氏柯迪斯中空纤维及金宝伦迪亚人工肾对体型较大的患者进行高效透析、治疗中毒以及进行快速超滤。尿素氮清除率可达240毫升/分钟。在高效透析期间发生了一次严重神经病变，低血压发作更为常见。高效透析有特定的适应证，尤其是在中毒病例中。然而，由于可能存在副作用，在确定其在尿毒症治疗中的最终地位之前还需要更多经验。