慢性血液透析におけるSingl Needle Dialysisの評価

概要

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In this study, we compared the efficiency of hemodialysis between single needle system (5 hr/run and 6 hr/run) and double needle system (5 hr/run). Results were as follows; (1) % removal of BUN; single needle dialysis 5 hr/run: 49.7%, single needle dialysis 6 hr/run: 54.1%, double needle dialysis 5 hr/run: 54.7%. (2) % removal of creatinine; single needle dialysis 5 hr/run: 46.2%, single needle dialysis 6 hr/run: 50.0%, double needle dialysis 5 hr/run: 53.0%. (3) % removal of uric acid; single needle dialysis 5 hr/run: 46.7%, single needle dialysis 6 hr/run: 49.2%, double needle dialysis 5 hr/run: 58.1%. (4) % removal of P; single needle dialysis 5 hr/run: 32.4%, single needle dialysis 6 hr/run: 37.2%, double needle dialysis 6 hr/run: 45.1%. (5) Comparison of ultrafiltration; single needle dialysis 5 hr/run: 1.6 kg, single needle dialysis 6 hr/run: 1.8 kg, double needle dialysis 6 hr/run: 2.1 kg. (6) Correction of serum electrolytes, osmolality and acidosis; we found no significant differences of them between single needle system and double needle system. The single needle dialysis is simple and safe, but, because of decreased efficiency of this system, it should be applied to the fistula-dialysis with one small segment of a fistula vessel. Extension of dialysis time would be necessary as compared with times which were optimal for double needle dialysis.
泌尿器科紀要刊行会の論文
1975-12-00