The contribution of hemofiltration among the treatment modalities of chronic uremia.

作者: E. Vidi , F. Bianco , G. Panzetta

DOI: 10.1177/039139889301601204

关键词: MedicineHemodialysisWeight gainUrologyCreatinineUreaBody fluidSodiumLiterHemofiltration

摘要: To assess the role of hemofiltration (HF) among different treatment modalities, we reviewed our clinical material from 37 patients that consecutively underwent 1981 on. A number 12 on HF for at least 1 year deliberately switched to hemodialysis (HD) or hemodiafiltration (HDF) were studied retrospectively. Biochemical and nutritional parameters, cardiovascular aspects morbidity data collected during one before after change. sodium balance study was performed in 9 as well. No significant differences plasma urea, creatinine, phosphate, body weight, serum albumin, transferrin, hemoglobin PCR found. BUN tended be lower HD-HDF because more efficient removal urea with these treatments. Indeed, Kt/V index 0.91 it 1.15 HD-HDF. There no hypotensive episodes morbidity. Sodium loss strictly related fluid session a net (NSL) 128 mEq per liter (FR) (NSL = 6.44 + 122 FR; r:0.83; p < 0.01). Adapting concentration substitution weight gain, stability improved those subjects prone collapse. With equivalence 2 periods, although 20% HF, seems reasonable assume clearance might compensated by higher molecular substances and/or biocompatibility HF.

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