Ghezzi P, De Taddeo D, Cavalli P L, Palanca R, Rovere A
Minerva Med. 1977 May 9;68(23):1559-66.
The problem of the reutilization of coil filters in haemodialysis is discussed. The methodologies in current use are examined and the technical risks and inconveniences that limit any real economic advantage are pointed out. On the basis of these observations, a system of reutilization is proposed which does not call for any direct handling of the filter nor any special techniques for eliminating risks of transmitting infection, and cuts to the minimum extra work involving the use of hospital staff. The proposed equipment is illustrated in detail. It consists of a small accessory individual monitor which has opened the way to the concept of "weekly dialyser". Attention is called to the need for further research into the physiopathology of the regenerated membrane, particularly in relation to the type of filter, the number of reutilizations, and the behaviour of ultrafiltration and the various solutes.
本文讨论了血液透析中线圈过滤器的再利用问题。对当前使用的方法进行了研究,并指出了限制任何实际经济优势的技术风险和不便之处。基于这些观察结果,提出了一种再利用系统,该系统不需要对过滤器进行任何直接处理,也不需要任何特殊技术来消除感染传播风险,并且将涉及医院工作人员使用的额外工作量降至最低。详细说明了所提议的设备。它由一个小型附属个人监测器组成,这为“每周透析器”的概念开辟了道路。需要进一步研究再生膜的生理病理学,特别是与过滤器类型、再利用次数以及超滤和各种溶质的行为有关的方面。