Vachtenheim J, Tocík J, Novák Z, Zeman P
Vnitrní oddĕlení I nemocnice s poliklinikou, Jihlava.
Vnitr Lek. 1990 Nov;36(11):1057-61.
The authors discuss their initial experience with the treatment of secondary amyloidosis in rheumatoid arthritis with irreversible renal failure in patients included in a regular dialyzation programme. The hitherto assembled 15-month experience justifies the inclusion of patients with this cause of irreversible renal failure in a dialyzation programme. The reverse is not only wrong from the medical aspect but is inhuman and interferes with the life of families of these patients. Although the procedure during a regular dialyzation programme of these patients with rheumatoid arthritis with secondary amyloidosis is more complicated, more pretentious and more responsible, it is our medical duty to carry this burden together with the patient.
作者讨论了他们对类风湿关节炎伴不可逆肾衰竭患者进行继发性淀粉样变性治疗的初步经验，这些患者纳入了常规透析计划。迄今积累的15个月经验证明，将因这种原因导致不可逆肾衰竭的患者纳入透析计划是合理的。反之，这不仅在医学上是错误的，而且是不人道的，还会干扰这些患者家庭的生活。尽管对这些患有继发性淀粉样变性的类风湿关节炎患者进行常规透析时的操作更为复杂、要求更高且责任更大，但与患者共同承担这一负担是我们的医疗职责。
