ISSN:1660-8151    

DOI:10.1159/000180345

出版商:S. Karger AG    

年代:1974

数据来源: Karger

ISSN:1660-8151    

DOI:10.1159/000180346

出版商:S. Karger AG    

年代:1974

数据来源: Karger

ISSN:1660-8151    

DOI:10.1159/000180347

出版商:S. Karger AG    

年代:1974

数据来源: Karger

摘要:

This review is concerned with reappraisal of the implications of therapeutic procedures in patients with terminal renal failure. Renal osteodystrophy is a complex metabolic problem which re-emphasises the endocrine role of the kidney, as do anaemia and hypertension. Bilateral nephrectomy aggravates anaemia and possibly osteodystrophy, while providing only a partial solution to the problem of hypertension. Blood transfusion may give rise to cytotoxic antibodies in some patients, preventing renal transplantation. Management is further complicated by the different and often unpredictable rates of decline of renal function in various nephropathies. Careful evaluation of new therapeutic procedures is advocated.

ISSN:1660-8151    

DOI:10.1159/000180348

出版商:S. Karger AG    

年代:1974

数据来源: Karger

摘要:

The arteriovenous fistula has become the definitive approach for long-term access to the blood stream for haemodialysis with potential use in other chronic disorders. Access, however, must achieve certain criteria for adequate dialysis, which necessitates careful preoperative planning and subsequent care. This paper deals with some of the more important points in assessment, surgical technique and fistula maintenance, and discusses some of the problems commonly encountered.

ISSN:1660-8151    

DOI:10.1159/000180349

出版商:S. Karger AG    

年代:1974

数据来源: Karger

摘要:

Repeated haemodialysis for chronic renal failure puts patient and staff at risk of developing serum hepatitis. The reasons for this are discussed and methods of preventing the introduction of hepatitis B virus and its spread through units are delineated.

ISSN:1660-8151    

DOI:10.1159/000180350

出版商:S. Karger AG    

年代:1974

数据来源: Karger

摘要:

Fourteen haemodialysers are described, including most of the models in widespread clinical use. There is now a wide choice between dialysers all of which have acceptable clearance of small molecules and residual blood volume and are not seriously thrombogenic. They differ mainly in their clearances, blood flow resistance, ultrafiltration rate and leak rate. Data are supplied to facilitate a choice between them in the light of localresources and priorities.

ISSN:1660-8151    

DOI:10.1159/000180351

出版商:S. Karger AG    

年代:1974

数据来源: Karger

摘要:

Renal bone disease is the consequence of secondary hyperparathyroidism (P retention and PTH resistance) and of defective metabolism of vitamin D. The effects of these biochemical abnormalities in the skeleton are described. The value of various diagnostic procedures (bone biopsy, serum chemistry, x-rays) is analyzed. Current views on prevention and treatment of renal bone disease before and during maintenance hemodialysis are discussed.

ISSN:1660-8151    

DOI:10.1159/000180352

出版商:S. Karger AG    

年代:1974

数据来源: Karger

摘要:

The pathogenesis of renal anemia was reviewed and lack of erythropoietin felt to be the major contributory factor. The treatment of anemia in the hemodialysis patient is discussed and the benefits of scheduling dialysis 3 times per week, improved protein intake, oral iron, and selective use of androgens were clearly demonstrated by significant rises in hematocrit levels in 129 patients.

ISSN:1660-8151    

DOI:10.1159/000180353

出版商:S. Karger AG    

年代:1974

数据来源: Karger

摘要:

Peritoneal dialysis, its indications and contraindications are reviewed in the light of recent technical developments and clinical experience with 69 patients on maintenance treatment. Protein depletion and peritonitis can no longer be considered inevitable endpoints of acute or chronic peritoneal dialysis. Based on an extensive experience in both hemodialysis and peritoneal dialysis, it is suggested that perhaps as many as 20–25% of patients in need of dialysis should preferentially receive peritoneal dialysis treatmen

ISSN:1660-8151    

DOI:10.1159/000180354

出版商:S. Karger AG    

年代:1974

数据来源: Karger