Bova C, Lombardi L, Mantelli I, Pinciaroli A R, Pinciaroli P
Int J Artif Organs. 1986 Dec;9 Suppl 3:63-5.
BF is a dialytic procedure employing the new AN69 polyacrylonitrile membrane, which is more permeable to both water and solutes than the traditional AN69. A postdilutional bicarbonate infusion is necessary in BF. The treatment time is 3 hours. Six patients, previously on regular acetate (HD) or bicarbonate dialysis (BHD) with AN69 were treated for 18 months with BF. Biochemical and hematological parameters (BUN, creatinine, uric acid, CA, P, K, Na, blood pH, HCO3, hematocrit) and clinical signs were evaluated in BF, and compared to those of HD and BHD. An improvement in biochemical and hematological parameters accompanied by better clinical signs was seen in BF as compared to HD and BHD. In our opinion this is due both to better removal of small and middle molecules and the bicarbonate infusion, and to the shorter dialytic session.
血液滤过(BF)是一种采用新型AN69聚丙烯腈膜的透析程序,该膜对水和溶质的通透性均高于传统的AN69膜。血液滤过需要进行后置碳酸氢盐输注。治疗时间为3小时。6例之前接受常规醋酸盐(HD)或使用AN69进行碳酸氢盐透析(BHD)的患者接受了18个月的血液滤过治疗。对血液滤过中的生化和血液学参数(尿素氮、肌酐、尿酸、钙、磷、钾、钠、血液pH值、碳酸氢根、血细胞比容)及临床体征进行了评估,并与HD和BHD的参数及体征进行了比较。与HD和BHD相比,血液滤过中生化和血液学参数得到改善,同时临床体征更佳。我们认为,这是由于小分子和中分子的清除效果更好、碳酸氢盐输注以及透析疗程较短所致。