Weinreich T H
Departement Innere Medizin, Universitätsspital Zürich.
Schweiz Rundsch Med Prax. 1994 May 31;83(22):676-9.
Technical improvement in both, hemo- and peritoneal dialysis, has made these methods extremely safe and efficient. With an increasing number of patients entering a dialysis program for end-stage renal disease, the number of long-term dialysis patients, who will not receive a transplant for various reasons, will also increase. Modern dialysis treatment must not only keep the patient alive but has to allow for as much individual and social rehabilitation as possible. Indication, timing and predialysis preparations must be in the nephrologist's hands. However, for most patients the family's physician has been a partner and adviser during many years of a chronic disease. Therefore, he should be familiar with principles and practice of modern dialysis treatment. It is the aim of this paper to outline some basic principles of the most common dialysis modalities used today and to consider their pros and cons with respect to the patient's individual situation.
血液透析和腹膜透析技术的改进使这些方法极其安全且高效。随着越来越多的患者因终末期肾病进入透析项目，因各种原因无法接受移植的长期透析患者数量也会增加。现代透析治疗不仅要维持患者的生命，还必须尽可能促进个体和社会康复。透析指征、时机和透析前准备必须由肾病学家掌控。然而，对于大多数患者而言，家庭医生在多年慢性病治疗过程中一直是合作伙伴和顾问。因此，他应该熟悉现代透析治疗的原则和实践。本文旨在概述当今最常用的透析方式的一些基本原则，并结合患者的个体情况考量其优缺点。
