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[在爱尔福特进行高效短期透析的2.5年经验]

[2 1/2-year experience with highly-effective short-term dialyses in Erfurt].

作者信息

Otto N, Thieler H, Schmidt U, Marx M

出版信息

Z Urol Nephrol. 1978 May;71(5):323-7.

PMID:676536
Abstract

At present 18 of 19 dialysis patients undergo the highly effective short-term dialysis, which is used in the Erfurt centre since November 1974. The therapy is performed by two parallel dialysators C-DAK 4 for 3 to 4 hours (24.4 square metres -- hours/week). During the period of observation of 2 1/2 years altogether 35 patients were treated with the short-term dialysis. There are compared clinical and paraclinical parameters of 12 patients who on an average for 2 years underwent the short-term dialysis. The serum levels of retained substances of protein and albumin as well as the "optimum weight" did not or only unessentially differ from each other. Also the blood pressure values scarcely deviated from each other before and after dialysis. The manifold use of the C-DAK 4 is the cause for an increased substitution of erythrocytes. Insufficient compensation of the circulation and a low body weight are regarded as contraindication to the short-term dialysis.

摘要

目前,19名透析患者中有18名接受高效短期透析,自1974年11月起爱尔福特中心就开始采用这种透析方式。治疗通过两台并联的C - DAK 4透析器进行3至4小时(每周24.4平方米 - 小时)。在总共2年半的观察期内,共有35名患者接受了短期透析治疗。对平均接受了2年短期透析治疗的12名患者的临床和辅助临床参数进行了比较。蛋白质和白蛋白等潴留物质的血清水平以及“最佳体重”彼此之间没有差异或仅有微不足道的差异。透析前后的血压值也几乎没有相互偏离。C - DAK 4的频繁使用导致红细胞替代增加。循环代偿不足和体重过低被视为短期透析的禁忌症。

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