论文部分内容阅读
自1990年3月以来,对经强化透析超滤不能消除腹水、并在透析过程中不断出现低血压的3例慢性维持性血透患者,成功地进行了32人次的静脉腹水回收。其特点是将回收腹水同传统的血透相结合,治疗中腹水被间断戎连续地通过管道泵入透析器或血滤器。在其中同血液一起进行透析,并按腹水回收容量同步地超滤。治疗后患者体力不减、食欲有所增进、心血管功能趋于稳定,因而允许体重下降远远超出了在一般血透情况下的最大值。回收后血浆白蛋白浓度均显著增加。
Since March 1990, 32 patients with venous ascites were successfully recovered from 3 patients with chronic maintenance hemodialysis who did not eliminate ascites by intensive dialysis and continued to develop hypotension during dialysis. It is characterized by the recovery of ascites combined with the traditional hemodialysis, the treatment of ascites was intermittent continuous through the pipeline into the dialyzer or hemofilter. In which hemodialysis is performed together with the blood, and ultrafiltration is simultaneously performed according to the ascites recovery capacity. After treatment, the patient’s physical exertion, appetite improved, cardiovascular function stabilized, allowing weight loss far beyond the maximum in the case of general hemodialysis. Plasma albumin concentrations were significantly increased after recovery.