Kolff型twin coilによる血液透析の経験

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Since September 1962, hemodialysis have been performed on patients with renal failure by Kolff-Twin-Coil type (Travenol) at the Department of Urology, Nagasaki University Hospital. 1) Twenty seven times of hemodialysis was performed on 20 patients with acute renal failure. One patient survived and one patient received renal transplantation among 11 patients until Sept-68, however in the recent 9 cases, 4 cases (44%) survived and some improvement in survival rate is noticed. 2) Two hundred and forty two times hemodialysis were performed on 27 patients with chronic renal failure. There were 9 patients on a long term hemodialysis program and 6 patients received renal transplantation. All patients died except the two who are now on hemodialysis. Two patients survived more than one year from the beginning of hemodialysis and the maximum survival date was 16 months. 3) Results of slow dialysis performed on two patients at the same time and by the same Kolff-Twin- Coil were as good as the results of rapid dialysis in BUN, creatinine, serum electrolytes and acid-base balance. 4) By improving the dialysate constituents and performing on two patients at the same time slow dialysis as above mentioned method, it was possible to control the dialysis hypertension and suppress the dialysis disequilibrium syndrome. 5) As to the change of blood glucose in dialysis, the blood glucose curve at inlet and outlet showed quite different pattern between group of glucose 1g/dl contained dialysate used and group of xylitol 1 g/dl used. Dialysis hyperglycemia and one hour post dialysis hypoglycemia seen in group of glucose 1 g/dl used, were not recognized in group of xylitol 1 g/dl used.
社団法人日本泌尿器科学会の論文

Kolff型twin coilによる血液透析の経験

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