Banester H K, Driscoll R D, Greenwood R N, Cattell W R
Br Med J (Clin Res Ed). 1982 Aug 14;285(6340):473-4. doi: 10.1136/bmj.285.6340.473.
The shortage of resources for providing renal replacement makes it essential to reduce revenue costs wherever possible. Assuming that haemodialysis is likely to remain a mainstay of renal replacement, a policy of reusing the expensive disposable dialysers and blood lines could offer substantial cost savings. Such reuse has been shown to be safe and to maintain efficiency, but it must also take account of convenience to the patient, especially those dialysing at home. A survey of patients treated with home dialysis shows that the rate of reuse of the complete extracorporeal circuit was highest for those patients who had automated reuse systems.
提供肾脏替代治疗的资源短缺使得尽可能降低成本至关重要。假设血液透析仍可能是肾脏替代治疗的主要方式，重复使用昂贵的一次性透析器和血路管的政策可以大幅节省成本。这种重复使用已被证明是安全的且能保持效率，但同时也必须考虑到患者的便利性，尤其是那些在家中进行透析的患者。一项针对接受家庭透析治疗患者的调查显示，对于拥有自动复用系统的患者，完整体外循环的复用率最高。
