Ari J B, Oren A, Berlyne G M
Nephron. 1976;16(1):74-9. doi: 10.1159/000180585.
To increase the number of regular dialysis patients without increasing apparatus, staff or buildings, short time-high area dialysis was undertaken for 3.5 h twice a week or 3 h three times a week with two UF 2 coils in series (2 m2) with dialysis fluid flow of 300 ml/min/kidney in parallel. The biochemical and clinical results were compared with those obtained in a period immediately prior to this using conventional 7-hours dialysis twice a week or 6 h three times a week on UF 145. Urea, creatinine and vitamin B12 clearances, predialysis blood urea and creatinine levels and the clinical state of the patients were satisfactory on short double UF 2 coil in series dialysis. Addition of 1-1.5 liters of saline during dialysis permitted an average net fall in body weight of 1 kg without cramps or hypotension. The merits of rapid dialysis with a large area dialyzer are discussed.
为了在不增加设备、工作人员或建筑面积的情况下增加规律透析患者的数量,采用了短时间-高面积透析,每周两次,每次3.5小时,或每周三次,每次3小时,使用两个串联的超滤2线圈(2平方米),透析液流速为300毫升/分钟/肾脏,并行进行。将生化和临床结果与在此之前立即使用传统的每周两次7小时透析或每周三次6小时透析(超滤145)所获得的结果进行比较。在串联双超滤2线圈短时间透析中,尿素、肌酐和维生素B12清除率、透析前血尿素和肌酐水平以及患者的临床状态均令人满意。透析期间添加1-1.5升生理盐水可使体重平均净下降1公斤,且无痉挛或低血压。讨论了使用大面积透析器进行快速透析的优点。