床边无透析机血液透析抢救八例肾衰初步报告

Hemodialysis without Complicated Devices for Emergent Treatment of Kidney Failure

采用床边无透析机血液透析方法抢救８例肾衰，其中流行性出血热５例，慢性肾炎合并感染１例，电击伤后多脏器衰竭１例，老年食道癌术后多脏器衰竭１例。透析３～６ｈ后，血尿素氮平均下降３０％，血肌酐下降２３％。对高钾血症、高血容量综合症、肺水肿及严重水潴留等危急情况，效果明显。作者就该透析的方法及优越性等方面进行了介绍。

A simple bedside hemodialysis technique without requirement of complicated devices was applied to eight cases of kidney failure due to various diseases.The results were satisfactory:In average 4-hour-session,blood BuN level reduced by 30%and blood creatinine reduced by 23%。In patients presenting hypervolemia,pulmonary edema or severe water retetion,theimprovements were remarkable.The blood potassium level became normal immediately in 2cases of hyperpotassemia after one session.This method is simple,easy to handle anddoes’nt require complicated devices,any water treatment or dialysis fluid delivery system.No side effect was found in the series. Because of its good hemodyriamic tolerance,it may beconsidered as a modality of emergent treatment in the above mentioned critical condition.