Target Natalia
CHD Vendée, La Roche-sur-Yon, France.
Nephrol Ther. 2022 Dec;18(5S1):5S12-5S17. doi: 10.1016/S1769-7255(23)00005-6.
Home hemodialysis (HHD) is closely associated with the development of in-center hemodialysis (HD), being introduced gradually as the survival of dialysis patients increased with the progress of technology and scientific research. It peaked fifty years ago and then gradually declined. Nowadays there is a revival of HHD highlighting the clinical and quality of life benefits attributed to it. The practice is already solid in several countries internationally and in France the trend is growing up. However, in-center HD remains largely majority and several obstacles to the development of HHD are reported. In this article we address in particular the complex clinical context (heart failure, central venous catheter) of situations that may arise in daily practice that may call into question a HHD project. © 2022 Société francophone de néphrologie, dialyse et transplantation. Published by Elsevier Masson SAS. All rights reserved.
家庭血液透析（HHD）与中心血液透析（HD）的发展密切相关，随着技术和科研的进步，透析患者生存率提高，HHD逐渐被引入。它在五十年前达到顶峰，随后逐渐下降。如今，HHD正在复兴，凸显出其在临床和生活质量方面的益处。这种做法在国际上的几个国家已经成熟，在法国这种趋势也在增加。然而，中心血液透析仍然占主导地位，并且有报道称HHD的发展存在一些障碍。在本文中，我们特别探讨了日常实践中可能出现的、可能使家庭血液透析项目受到质疑的复杂临床情况（心力衰竭、中心静脉导管）。© 2022法国肾脏病、透析与移植学会。由爱思唯尔马松出版社出版。保留所有权利。
