[原著]Dialysis Ascitesの臨床的考察

概要

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We have observed 4 cases of dialysis ascites among 150 chronic hemodialysis patients, so we discussed that clinical course and pathophysiology. Case 1; 61-year-old male, CRF due to CGN. Ascites became prominent one year and four months after beginning maintenance hemodialysis but he is still alive and undergoing treatment. Case 2; 67-year-old male. Admitted as an emergency patient for CRF. Massive ascites appeared 8 months after beginning maintenance hemodialysis and he died within 2 months. Case 3; 34-year-old female, CRF due to diabetic nephropathy. Generalized edema lmproved but ascites did not improved and she died four months after beginning hemodialysis. Case 4; 68-year-old female. Generalized edema appeared during clinical course for CGN. Peripheral edema improved but prominent ascites persisted and she died 4 months after beginning hemodialysis. In these 4 cases, other diseases were ruled out by clinical symproms, signs and laboratory data. And its etiology was not clarified by the characteristics of ascites or the autopsies. Concerning its pathophysiology, we observed the periodical values of urea-nitrogen of blood and ascites during the 6 hours of hemodialysis and there was a slope between the values of blood and ascites, this results suggested a compertmentalization of asites in the extracellular fluid.
琉球大学保健学部の論文
1979-00-00