Davison A M, Roberts T G, Mascie-Taylor B H, Lewins A M
Br Med J (Clin Res Ed). 1982 Jul 10;285(6335):87-9. doi: 10.1136/bmj.285.6335.87.
Two patients with profound dialysis-induced hypotension were seen, in both of whom sequential ultrafiltration and haemodialysis failed to alleviate their symptoms; in one bicarbonate dialysis similarly produced no improvement. The hypotension was frequently severe enough to necessitate premature termination of the dialysis. Haemofiltration was associated with almost total resolution of symptoms, adequate biochemical control of uraemia, and satisfactory removal of weight gain between dialysis sessions. Profound hypotension during dialysis may become more common as older patients enter dialysis programmes; haemofiltration is a valuable technique in such cases.
有两位患者出现了严重的透析诱导性低血压，两人进行序贯超滤和血液透析均未能缓解症状；其中一位患者进行碳酸氢盐透析同样没有改善。低血压常常严重到需要提前终止透析。血液滤过与症状几乎完全缓解、尿毒症生化指标得到充分控制以及透析间期体重增加得到满意清除相关。随着老年患者进入透析项目，透析期间严重低血压可能会变得更加常见；在这种情况下，血液滤过是一项有价值的技术。
