Shusterman N H, Feldman H I, Wasserstein A, Strom B L
Department of Medicine, University of Pennsylvania School of Medicine, Philadelphia.
Am J Kidney Dis. 1989 Aug;14(2):81-91. doi: 10.1016/s0272-6386(89)80181-7.
The reprocessing of hemodialysis equipment was originally developed to conserve scarce resources and to reduce the time necessary to construct early dialyzers. Although most dialyzers in current use are marketed as disposable items, the majority of dialysis facilities in the United States reprocess these devices and use them multiple times on the same patient. Recent studies have shown that certain reprocessing techniques confer improved biological properties on dialyzers compared with new membranes as prepared by manufacturers. Several studies have suggested that these biological properties may lead to improved clinical outcomes. However, critics of dialyzer reprocessing argue that it may expose patients to risks that produce increased morbidity and mortality. This article critically reviews the available scientific information regarding reprocessing hemodialyzers.
血液透析设备的再处理最初是为了节约稀缺资源并减少早期透析器制造所需的时间。尽管目前使用的大多数透析器作为一次性用品销售，但美国的大多数透析机构对这些设备进行再处理，并在同一名患者身上多次使用。最近的研究表明，与制造商新制备的膜相比，某些再处理技术可使透析器具有更好的生物学特性。多项研究表明，这些生物学特性可能会带来更好的临床结果。然而，透析器再处理的批评者认为，这可能会使患者面临导致发病率和死亡率增加的风险。本文对有关血液透析器再处理的现有科学信息进行了批判性综述。
