Heilmann E
Fortschr Med. 1975 Dec 4;93(34):1718-20.
Anemia is known as one of the earliest manifestations of chronic renal insufficiency. Anemia begins at a serum creatinine level of 2 mg/100 ml. There is no correlation between the degree of anemia and the etiology of renal disease. Patients on chronic hemodialysis shown an average hematocrit of 23%. In the pathogenesis of renal anemia various factors may be discussed, especially a deficiency of iron and erythropoietin. A method of conservative therapy which would allow optimal treatment of renal anemia is not yet available. Successful renal transplantation has to be considered the best therapeutic measure in terminal renal insufficiency.
贫血是慢性肾功能不全最早出现的表现之一。贫血始于血清肌酐水平达到2mg/100ml时。贫血程度与肾脏疾病的病因之间没有关联。接受慢性血液透析的患者平均血细胞比容为23%。在肾性贫血的发病机制中,可以讨论多种因素,尤其是铁和促红细胞生成素的缺乏。一种能够实现肾性贫血最佳治疗的保守治疗方法尚未问世。成功的肾移植必须被视为终末期肾功能不全的最佳治疗措施。