Lichtenberg R
Z Urol Nephrol. 1978 Jul;71(7):433-43.
In order to achieve an optimal rehabilitation of patients undergoing dialysis an abbreviation of the periods of dialysis with unchanged frequency of dialysis is necessary, when the patients are widely free of symptoms. Using conventional dialysators we only conditionedly succeed in shortening the time and this is not without any problems. The development of the acrylonitril-membrane (RP 6) and the use in the closed system (Rhodial-system) allows an extreme shortening of the time. It is reported on the use of the Rhodial-system since June 1975. The efficiency of the dialysator (RP 6) in the region of the middle molecules makes possible periods of dialysis of 3 times 3 hours a week in oligo-anuric patients. It is reported on the results of more than 3,000 dialyses in the behaviour of the micromolecular substances, of haemoglobin and haematocrit, blood pressure, polyneuropathy as well as of the subjective behaviour of the patient. These results led to abandoning dialyses with conventional membranes, as far as they transgress the time of dialysis of 9 hours a week.
为了使接受透析的患者获得最佳康复效果,当患者基本无症状时,在透析频率不变的情况下缩短透析时间是必要的。使用传统透析器时,我们只能在一定程度上成功缩短时间,而且这并非没有任何问题。丙烯腈膜(RP 6)的研发及其在封闭系统(Rhodial系统)中的应用使得时间得以极大缩短。自1975年6月起开始报道Rhodial系统的使用情况。透析器(RP 6)在中分子区域的效率使少尿无尿患者每周能进行3次每次3小时的透析。本文报道了3000多次透析中关于小分子物质、血红蛋白和血细胞比容、血压、多发性神经病变以及患者主观表现的结果。这些结果导致放弃使用传统膜进行每周透析时间超过9小时的透析。