Tanchev I, Genov Kh, Kurlova E, Stavreva E, Tancheva D
Vutr Boles. 1982;21(3):53-61.
The authors share their eight-and-a half-year experience in the treatment of 136 patients with terminal chronic renal insufficiency (CRI), treated via programmed hemodialysis. The programmed hemodialysis was established to considerably prolong the lives of the patients with terminal CRI. Many of them were rehabilitated to a state, making them feel complete citizens. The authors established that the patients with Balkan endemic nephropathy, as compared with those with chronic pyelo-nephritis and glomerulonephritis were adapted and rehabilitated far faster. It was also established that the earlier the hemodialysis treatment was performed, the faster those patients were adapted and rehabilitated and the longer they lived. The effectiveness of hemodialysis therapy was negligible in patients with poor general state. According to their observations blood urea should not be higher than 180-200 mg%, creatinin--over 10-12 mg%, hematocrit--under 25% and hemoglobin under 8 g%.
作者分享了他们在通过程控血液透析治疗136例终末期慢性肾功能不全(CRI)患者方面长达八年半的经验。建立程控血液透析是为了显著延长终末期CRI患者的生命。他们中的许多人恢复到了一种让他们感觉像完全正常公民的状态。作者发现,与慢性肾盂肾炎和肾小球肾炎患者相比,巴尔干地方性肾病患者适应和康复得要快得多。还发现血液透析治疗进行得越早,这些患者适应和康复得就越快,存活时间也越长。对于一般状况较差的患者,血液透析治疗的效果微乎其微。根据他们的观察,血尿素不应高于180 - 200mg%,肌酐不应超过10 - 12mg%,血细胞比容不应低于25%,血红蛋白不应低于8g%。