短時間透析に関する研究　第１報

• 栗山 哲

  東京都済生会中央病院腎臓内科

• 松井 香與子

  東京都済生会中央病院腎臓内科

• 宇都宮 保典

  東京都済生会中央病院腎臓内科

• 友成 治夫

  東京都済生会中央病院腎臓内科

書誌事項

タイトル別名

• A study on short-time dialysis (initial report). Focus on the effect of high shunt blood flow on cardiac functions.

抄録

Short-time dialysis (3hrs) was evaluated with respect to various clinical factors.<br>Using a high performance membrane (HPM), under the conditions of blood flow (Q_B)=314ml/min and dialysate flow=500ml/min, 1) KT/V, TAC_BUN, PCR were 1.35±0.17, 46.6±7.1mg/dl, 1.20±0.18g/kg/day, respectively. The average reduction in β₂ microglobulin was 42.6±6.3mg/dl. 2) Cardiac functions examined by the Swan-Ganz catheter method showed that an increase in Q_B did not affect MBP, HR, CI, CVP, PCWP or PA. 3) The endotoxin concentration of the dialysate was 2.7pg/ml. 4) No difference was found in clinical data (CTR, blood pressure and blood test parameters) between conventional HD and short-time HD. 5) Shortening of the HD time seemed to be beneficial to the patient's quality of life.<br>We conclude that shortening of the HD time does not influence the adequacy of HD, if HPM and high Q_B are properly chosen. We also suggest that an increase in Q_B has no substantial effect on cardiac functions.

収録刊行物

• 日本透析療法学会雑誌

  日本透析療法学会雑誌 26 (10), 1615-1620, 1993

  社団法人 日本透析医学会

キーワード

• 短時間透析
• 高血流透析
• 心機能
• エンドトキシン

詳細情報

• CRID: 1390282679654059264
• NII論文ID: 130003874413
• NII論文ID: 80007291908
• DOI: 10.4009/jsdt1985.26.1615
• ISSN: 18846211
• ISSN: 09115889
• Web Site: https://search.jamas.or.jp/link/ui/1994122010
• 本文言語コード: ja
• データソース種別:
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