Merrill J P
J Urban Health. 1998 Dec;75(4):911-8; discussion 919-21. doi: 10.1007/BF02344520.
Certain of the uremic states respond with gratifying clinical improvement to dialysis with the artificial kidney. In acute renal insufficiency, the procedure, if properly employed, may be a valuable adjunct to conservative management and occasionally in acute spontaneous potassium intoxication have a distinct advantage over other methods of treatment. The chronic uremic patient whose debility is due primarily to retention of metabolite may improve dramatically though temporarily following the procedure. Where the clinical situation is not in large part due to these derangements, hemodialysis should be expected to have very little effect upon the clinical course. In any consideration of the benefits to be achieved by this procedure, an understanding of the lack of indication and the contraindications are of utmost importance.
某些尿毒症状态通过人工肾透析可获得令人满意的临床改善。在急性肾功能不全时，若正确应用该方法，它可能是保守治疗的一项有价值的辅助手段，而且在急性自发性钾中毒时，相对于其他治疗方法具有明显优势。主要因代谢产物潴留而虚弱的慢性尿毒症患者，在接受该治疗后可能会显著改善，尽管只是暂时的。如果临床情况很大程度上并非由这些紊乱所致，那么血液透析预计对临床病程影响甚微。在考虑通过该方法可获得的益处时，了解其适用情况和禁忌证至关重要。
