長期透析者の貧血管理

概要

論文の詳細を見る
Seventeen patients on a program of chronic hemodialysis were divided into three groups in order to manage their anemia. Group 1: No special treatment......normal serum iron level, no need for periodic transfusion in the past Group 2: Administration of iron......low serum iron level Group 3: Administration of anabolic steroid......normal or high serum iron level, need for periodic transfusion in the past In Group 1, all of uremic states, such as anemia, hypertension and neuropathy, were controlled well only by hemodialysis. In Group 2, patients responded well with iron therapy in increase of hematocrit in a week. In Group 3, seven out of ten patients were no or minimal need for transfusion after anabolic steroid therapy. Anemia is an inevitable complication of uremia and many factors are involved in it such as impaired excretory and endocrine functions, microangiopathy and bone marrow dysfunction. For these reasons, there exists on some patients a continuing need for periodic transfusion in spite of the well controlled uremic states by hemodialysis. In our experiences, administration of iron was useful in case of iron-deficiency and anabolic steroid therapy was also useful in the treatment of patient with uremic anemia who was adequately dialyzed and well nourished.
北里大学の論文
1973-04-30