人工透析療法の透析法改善に関する研究

概要

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The effects for improving the efficiency of hemodialysis was performed, utilizing artificial kidney of small coli type with 2000 cm2 of dialysing area. Results were as follows : 1) When dialysing fluid was circulated with pump, dialysing effect was increased about 20 % than that without pump. 2) As far as the temperature of dialysing fluid concerned, the dialysing effect was decreased 6 % in vivo and 8 % in vitro on the condition with 18-20°C than 35-36°C. 3) When the dialysis were performed with hypothermia, dialysing effect was decreased slightly. It was explained that hypothermia had advantages over normothermia to the hemodialysis for the patient with poor risk, and this fact was certified by the clinical application. 4) From the analysis of clinical results the indication of hemodialysis for acute renal failure was determined as follows ; i, e, over 150 mg/dl of blood urea nitrogen and over 6.0 mEg/l of serum potassium. 5) Continuous hemodialysis for 8 patients with chronic renal failure were performed and effective result was obtained in only one case of these patients, and while not effective in the other. It was thought that the renal homotransplantation should be considered for the chronic renal failure.
学校法人昭和大学・昭和医学会の論文