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血液透析治疗中吸附剂技术的现状

The status of sorbent technology in hemodialysis treatment.

作者信息

Roberts M

出版信息

Clin Nephrol. 1986;26 Suppl 1:S44-6.

PMID:3829467
Abstract

Twenty years ago an engineer in the aerospace field suggested the possibility of regenerating hemodialysate. This suggestion led to the development of the REDY Sorbent Hemodialysis System. In 1973, when the system was first introduced, the emphasis was on home hemodialysis. This motivation, combined with the relative portability and "no need for plumbing", led to the rapid introduction of the REDY System. Economically, the REDY System has not competed with central systems. However, the REDY System meets a special need for the preparation of individualized dialysate for the chronic and acute renal failure patient. Because of the small volume of the system (6 l), different dialysates can be readily prepared to adjust acid/base balance and normalize electrolyte concentrations. To simplify home hemodialysis, sorbent systems have now become available in which the dialysate side is disposable. This facilitates set-up and eliminates sterilization of the equipment. The Sorbent System can be reduced in size resulting in a continuously wearable hemodialysis system.

摘要

二十年前,一位航空航天领域的工程师提出了再生血液透析液的可能性。这一建议促成了REDY吸附剂血液透析系统的开发。1973年,该系统首次推出时,重点是家庭血液透析。这种动机,再加上相对的便携性和“无需管道”,使得REDY系统迅速得到推广。在经济方面,REDY系统并未与中央系统形成竞争。然而,REDY系统满足了为慢性和急性肾衰竭患者制备个性化透析液的特殊需求。由于该系统体积小(6升),可以很容易地制备不同的透析液,以调节酸碱平衡并使电解质浓度正常化。为了简化家庭血液透析,现在已经有了透析液侧为一次性使用的吸附剂系统。这便于设置并消除了设备的消毒工作。吸附剂系统的尺寸可以减小,从而形成一种可连续穿戴的血液透析系统。

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