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为一位原计划终身进行血液透析的终末期肾病患者提供护理并成功随访9年的血液透析终止病例报告

Discontinuing Hemodialysis with Patient Care and a Successful 9-Year Follow-up in a Patient Presumed to have End-Stage Kidney Disease Scheduled to Lifelong Hemodialysis: A Case Report.

作者信息

Toprak Omer, Bozyel Emel Aslan, Alp Burak

机构信息

Department of Medicine, Division of Nephrology, Balikesir University School of Medicine, 10145 Balikesir, Turkey.

Department of Medicine, Division of Internal Medicine, Balikesir University School of Medicine, 10145 Balikesir, Turkey.

出版信息

Clin Pract. 2021 Feb 26;11(1):131-142. doi: 10.3390/clinpract11010019.

DOI:10.3390/clinpract11010019
PMID:33652801
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7931046/
Abstract

End-stage kidney disease patients who require hemodialysis for more than 3 months have a small chance of leaving dialysis unless they have a kidney transplant. Educating the patient about lifestyle changes can play a major role in improving kidney function. Therefore, we created a patient education program according to our nephrology experiences. Herein, we show an end-stage kidney disease patient who underwent hemodialysis for 6 months. Afterwards, dialysis was terminated with patient care, and the patient was then followed up for 9 years without dialysis. To date, there have been no reports regarding the termination of long-term dialysis with a kidney care program and the ensuing 9-year follow-up without renal replacement therapy.

摘要

需要进行血液透析3个月以上的终末期肾病患者,除非接受肾移植,否则脱离透析的机会很小。对患者进行生活方式改变方面的教育对改善肾功能可起到重要作用。因此,我们根据肾脏病学经验制定了一个患者教育项目。在此,我们展示了一名接受血液透析6个月的终末期肾病患者。之后,在精心护理下终止了透析,该患者随后在未进行透析的情况下接受了9年的随访。迄今为止,尚无关于通过肾脏护理项目终止长期透析以及随后在无肾脏替代治疗情况下进行9年随访的报道。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cf48/7931046/2c2c81508f0d/clinpract-11-00019-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cf48/7931046/2c2c81508f0d/clinpract-11-00019-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cf48/7931046/2c2c81508f0d/clinpract-11-00019-g001.jpg

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本文引用的文献

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Inpatient educational program delays the need for dialysis in patients with chronic kidney disease stage G5.住院患者教育项目可延缓慢性肾脏病 5 期患者进入透析的需求。
Clin Exp Nephrol. 2021 Feb;25(2):166-172. doi: 10.1007/s10157-020-01979-5. Epub 2020 Oct 11.
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Association Between Early Recovery of Kidney Function After Acute Kidney Injury and Long-term Clinical Outcomes.急性肾损伤后肾功能早期恢复与长期临床结局的关系。
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