Lee C J, Chang Y L
Department of Chemical Engineering, National Tsing Hua University, Hsinchu, Taiwan, Republic of China.
Comput Biol Med. 1987;17(3):161-72. doi: 10.1016/0010-4825(87)90040-0.
In this paper, a scheme for "feel better" or optimal hemodialysis (OPTHD) based on a two-compartmental model has been proposed. Contrary to the conventional constant blood flow dialysis (CVTHD), this scheme suggests that the blood flow rate should vary in stages in order to avoid or minimize the disequilibrium syndromes during dialysis. A set of equations for computing the intracellular and extracellular solute concentrations during the OPTHD operation is developed and the computed results are illustrated. Comparing to the CVTHD, the OPTHD has the advantages of operating at a lower and smoother solute concentration difference between compartments for the same length of dialysis time, or it may achieve the same specific degree of blood cleansing within a shorter period of dialysis time.
本文提出了一种基于双室模型的“感觉更好”或优化血液透析(OPTHD)方案。与传统的恒血流率透析(CVTHD)相反,该方案表明血流率应分阶段变化,以避免或最小化透析过程中的失衡综合征。推导了一组用于计算OPTHD操作过程中细胞内和细胞外溶质浓度的方程,并给出了计算结果。与CVTHD相比,OPTHD的优点是在相同的透析时间内,隔室间的溶质浓度差更低且更平稳,或者在更短的透析时间内可达到相同的血液净化程度。