Department of Nephrology, Dialysis and Internal Medicine, Medical University of Warsaw, Warsaw, Poland.
Fresenius Medical Care Polska S.A., Poznan, Poland.
Int Urol Nephrol. 2020 Mar;52(3):519-523. doi: 10.1007/s11255-020-02393-2. Epub 2020 Feb 1.
Hemodialysis (HD) is one of the resource hungry medical interventions. A huge volume of water (about 500 L) and significant amounts of energy (over 7 kW) are used for a hemodialysis session; over a kilogram of waste is produced during this procedure. Thus, HD contributes to global warming while saving patients' lives. In this paper, we showed these crucial points in HD treatment and possible ways (e.g. modifications in dialysate flow rate) to reduce environmental impact maintaining therapy standards.
血液透析(HD)是一种资源密集型的医疗干预措施。一次血液透析 session 需要使用大量的水(约 500 升)和大量的能量(超过 7 千瓦);在此过程中会产生超过一公斤的废物。因此,HD 在拯救患者生命的同时也导致了全球变暖。在本文中,我们展示了 HD 治疗中的这些关键点,以及在保持治疗标准的同时,减少环境影响的可能方法(例如改变透析液流速)。