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[急性肾衰竭中透析治疗的优化]

[Optimizing dialysis treatment in acute renal failure].

作者信息

Válek A, Lopot F

机构信息

Abteilung für Innere Medizin des Fakultätskrankenhauses 2, Prag.

出版信息

Z Urol Nephrol. 1989 Feb;82(2):61-7.

PMID:2728632
Abstract

The empirical dialysis therapy of acute renal failure should be replaced by modern scientific methods of treatment. The classic indications for hemodialysis are hyperkaliemia, hyperhydratation, acidosis and uremia. While previously a dialysis was indicated in a concentration of blood urea nitrogen of more than 70 mmol/l today a serum level of 30 mmol/l is recommended. By the kinetic urea-modelling an individualized and effective dialysis-guidance is possible. The important data may be determined by a simple computer program in few seconds.

摘要

急性肾衰竭的经验性透析治疗应由现代科学治疗方法取代。血液透析的经典指征是高钾血症、水过多、酸中毒和尿毒症。以前,当血尿素氮浓度超过70 mmol/L时才进行透析,而如今推荐血清水平为30 mmol/L时进行透析。通过尿素动力学建模,可以实现个性化且有效的透析指导。重要数据可通过一个简单的计算机程序在几秒钟内确定。

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