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闭式循环对血液透析相关的嗜酸粒细胞增多症的影响 被引量:3

Effect of closed-rinse on hemodialysis related eosinophilia
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摘要 目的探讨用闭式预冲循环的方法对血液透析相关的嗜酸粒细胞增多症的影响。方法选择北京大学第一医院肾内科持续存在嗜酸粒细胞增多症的维持血液透析患者7例,全部患者排除其它引起嗜酸粒细胞增多的原因,应用闭式循环冲洗透析器及管路3个月,收集每月患者的静脉血,检查外周血嗜酸粒细胞计数及百分比,观察患者每次透析的临床表现及记录每月嗜酸粒细胞计数及百分比,比较嗜酸粒细胞的变化趋势。结果7名患者经闭式循环冲洗透析器及管路后,嗜酸粒细胞计数值的中位数由0.73降到0.48,百分比的中位数由13.0%降到5.6%,P<0.05。结论闭式预冲透析器及管路可能改善血液透析相关的嗜酸粒细胞增多症。 Objective To determine the effect of closed-rinse on hemodialysis related eosinophilia. Methods Seven patients on regular hemodialysis and with sustained hemodialysis related eosinophflia were enrolled in this study. We used closed-rinse to clean the dialyzers and tubes for 3 months. Peripheral eosinophil count and percentage, and clinical symptoms were observed every month. Results Eosinophil count and percentage decreased significantly (median count decreased from 0.73 to 0.48, median percentage from 13.0% to 5.6%, P 〈 0.05) after using the closed-rinse, Conclusion Closed-rinse to clean the dialyzers and tubes may reduce the presence of hemodialysis related eosinophilia.
出处 《中国血液净化》 2009年第9期490-491,共2页 Chinese Journal of Blood Purification
关键词 嗜酸粒细胞增多症 闭式预冲 血液透析 Eosinophilia Closed-rinse Hemodialysis
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参考文献4

  • 1Hov WE, Cestero RV. Eosinophillia in maintenance hemodialysis patients[J].J Dial, 1979,3:73-87.
  • 2Kenichiro K, Kuniyoshi O Hitoshi H, et al. Effect of vitamin E-bonded dialyzer on eosinophilia in haemodialysis patients[J]. Nephrol Dial Transplant, 2005,20:1932-1935.
  • 3Takahashi S, Ohsima H, Watanabe H, et al. Eosinophillia observed in regular hemodialysis[J]. Nippon Jinzo Gakkai Shi, 1979,21:959-974.
  • 4Hertel J, Kimmel PL, Phillips TM, et al. Eosinphilia and celluler cytokine responsiveness in hemodialysis patients [J].J AM Soc Nephrol, 1992,3:1244-1252.

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