STADJES ON PATIENTS IN ACUTE AND CHRONIC RENAL FAILURE

概要

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On May 28, 1970, soon after one of the authors (S. A.) began to work in the division of surgery of the Maebashi Red Cross Hospital, the first blood dialysis was performed there on a patient with postoperative acute renal failure, who suffered hepatic and renal rupture in traffic accident.<BR>In october 1972, the hospital was appointed to the blood dialysis center of Gunma prefecture, and from then up to the end of year 1974, the dialysis was performed 2, 200 times in total, on 7 cases of acute and 38 cases of chronic renal failure.<BR>The author reviewed the hisory of the development from about 95 of artificial kidney both from instrumental and technical viewpoint in Japan, and attempted various discussions on the basis of our cases of acute renal failure.<BR>Examination of relaticn between pre-dialysis laboratory findings and prognosis revealed the following conditions as the indicaticn for the performance of the dialysis in case of chronic renal insufficiency : BUN, 50100 mg/dl ; serum creatinine 310 mg/dl ; creatnine clearance, less than 20ml/min, in case of oliguria and hypertension of obove 200 mmHg, the control is difficult.<BR>It is necessary to chose adequate time for the dialysis with reference to the above mentioned.
北関東医学会の論文