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终末期肾衰竭的定期短期血液透析

Regular short haemodialysis in end-stage renal failure.

作者信息

Martin A M, Oduro-Dominah A, Gibbins J K, Devapal D, Mitchell D C

出版信息

Br Med J. 1975 Sep 27;3(5986):758-9. doi: 10.1136/bmj.3.5986.758.

Abstract

A study was made of thrice weekly haemodialysis of 3-3 1/2 hours' duration using a large surface area dialyser in patients with end-stage renal failure. Body water, potassium, and blood pressure control were satisfactory and comparable with the more widely used long dialysis schedules (6-9 hours thrice weekly). Patient rehabilitation was improved overall and the regimen enabled the dialysis unit to treat more patients despite a reduction in technical and nursing staff. The technique proved inadequate, however, in two patients with an intercurrent infection, and more intensive dialysis in recommended in such cases.

摘要

对终末期肾衰竭患者使用大面积透析器进行每周三次、每次3 - 3.5小时的血液透析进行了一项研究。身体水分、钾和血压的控制情况令人满意,与更广泛使用的长时间透析方案(每周三次,每次6 - 9小时)相当。患者的整体康复情况得到改善,尽管技术和护理人员有所减少,但该方案使透析单元能够治疗更多患者。然而,该技术在两名并发感染的患者中被证明是不足的,在这种情况下建议进行更强化的透析。

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引用本文的文献

1
Evaluation of ultra-short dialysis.超短透析的评估
Br Med J. 1979 Mar 10;1(6164):680. doi: 10.1136/bmj.1.6164.680.

本文引用的文献

1
Hostility and chronic intermittent haemodialysis.敌意与慢性间歇性血液透析
J Psychosom Res. 1969 Sep;13(3):265-73. doi: 10.1016/0022-3999(69)90045-2.
2
Psychiatric observations in a chronic hemodialysis program.慢性血液透析项目中的精神科观察
Med Clin North Am. 1971 Jan;55(1):177-91. doi: 10.1016/s0025-7125(16)32550-0.
4
Intensive utilisation of a dialysis unit.透析单元的密集使用。
Proc Eur Dial Transplant Assoc. 1973;10(0):342-8.
5
Dialysis schedule and peripheral neuropathy.
Proc Eur Dial Transplant Assoc. 1973;10(0):271-81.
6
Survey of chronic renal failure in Scotland.苏格兰慢性肾衰竭调查。
Lancet. 1972 Feb 5;1(7745):304-7. doi: 10.1016/s0140-6736(72)90304-2.

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