Malgaj Vrečko Marija, Ponikvar Rafael, Gubenšek Jakob, Buturović Ponikvar Jadranka
Center for Acute and Complicated Dialysis, Department of Nephrology, University Medical Center Ljubljana, Ljubljana, Slovenia.
Faculty of Medicine, University of Ljubljana, Ljubljana, Slovenia.
Hemodial Int. 2021 Mar 21;25(3):E29-32. doi: 10.1111/hdi.12925.
More than 40-year hemodialysis survivors are living evidence of the achievements of hemodialysis therapy. We present the case reports of three patients treated by chronic hemodialysis for 47 (Patient 1), 43 (Patient 2), and 42 years (Patient 3) from a single center. These patients possess characteristics that were already shown to be associated with improved long-term survival: initiation of hemodialysis at a young age, absence of diabetes, and a relatively low and stable body weight with good nutritional status. Although all of them underwent complications of long-term hemodialysis treatment, they lived (Patient 3), or are still living (Patients 1 and 2), an independent and full life. Their hemodialysis prescriptions included long sessions with a moderate blood flow rate, state-of-the-art hemodialysis technology, vascular access surgeries and care provided by nephrologists, good overall management of chronic kidney disease, and preventive measures and/or immediate action in case of cardiovascular disease.
超过40年的血液透析幸存者是血液透析疗法取得成就的活生生的证据。我们呈现了来自单一中心的3例接受慢性血液透析治疗47年（患者1）、43年（患者2）和42年（患者3）的患者的病例报告。这些患者具备已被证明与改善长期生存相关的特征：年轻时开始血液透析、无糖尿病以及体重相对较低且稳定且营养状况良好。尽管他们都经历了长期血液透析治疗的并发症，但他们（患者3）已经过上，或者（患者1和患者2）仍在过着独立而充实的生活。他们的血液透析处方包括较长的治疗时间、适中的血流速度、先进的血液透析技术、血管通路手术以及由肾病学家提供的护理、对慢性肾脏病的良好整体管理，以及在发生心血管疾病时的预防措施和/或立即行动。
