Válek A, Lopot F
Abteilung für Innere Medizin des Fakultätskrankenhauses 2, Prag.
Z Urol Nephrol. 1989 Feb;82(2):61-7.
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.
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。