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目的观察血液透析单超脱水治疗在重度浮肿的肾病综合征(NS)的疗效和安全性。方法选择肾病综合征合并重度浮肿患者12例,均经常规利尿治疗效果不佳,应用单超脱水治疗,观察患者浮肿、尿蛋白、血清白蛋白、肾功能等变化。结果治疗1～3周后浮肿减轻、尿蛋白减少、血清白蛋白回升和肾功能改善。结论重度浮肿的肾病综合征采用血液透析单超脱水治疗安全有效,是值得临床推广。
Objective To observe the efficacy and safety of hemodialysis single superhydration therapy in severe edema of nephrotic syndrome (NS). Methods Twelve patients with nephrotic syndrome and severe edema were selected. All of them were treated by conventional diuresis. The patients were treated with single superhydration and the edema, urine protein, serum albumin and renal function were observed. Results After 1 to 3 weeks of treatment, the edema, urinary protein, serum albumin and renal function were improved. Conclusion Severe edema nephrotic syndrome using hemodialysis single super-dehydration safe and effective, is worthy of clinical promotion.