Benefits and risks of protracted treatment with human recombinant erythropoietin in patients having haemodialysis.

作者: S Casati , P Passerini , M R Campise , G Graziani , B Cesana

DOI: 10.1136/BMJ.295.6605.1017

关键词:

摘要: Fourteen patients with uraemic anaemia and having regular haemodialysis were given human recombinant erythropoietin in increasing doses, beginning 24 U/kg thrice weekly. One patient was dropped from the study because of recurrent thrombosis vascular access sites. In other 13 patients, followed up for a mean 9.1 months (range 8-11), haemoglobin concentrations increased 62 (SD 8) to 105 (9) g/l. No antierythropoietin antibodies detected during study. The correction associated tendency hyperkalaemia mild increase unconjugated bilirubinaemia. eight previously hypertensive antihypertensive treatment had be reinforced, but normotensive blood pressure did not change. Thrombosis arteriovenous fistulas occurred two cerebral ischaemic lesion one. Protracted evidently can maintain normal over time. Full anaemia, however, may trigger some problems, particularly those thromboembolism.

参考文章(16)
M. B. Brown, Wilfrid Joseph Dixon, BMDP statistical software University of California Press. ,(1983)
P.C. Elwood, I.T. Benjamin, W.E. Waters, P.M. Sweetnam, Mortality and anaemia in women. The Lancet. ,vol. 303, pp. 891- 894 ,(1974) , 10.1016/S0140-6736(74)90346-8
Kenneth Jacobs, Charles Shoemaker, Richard Rudersdorf, Suzanne D. Neill, Randal J. Kaufman, Allan Mufson, Jasbir Seehra, Simon S. Jones, Rodney Hewick, Edward F. Fritsch, Makoto Kawakita, Tomoe Shimizu, Takaji Miyake, Isolation and characterization of genomic and cDNA clones of human erythropoietin Nature. ,vol. 313, pp. 806- 810 ,(1985) , 10.1038/313806A0
Manuela Livio, Donatella Marchesi, Giuseppe Remuzzi, Eliana Gotti, Giuliano Mecca, Giovanni De Gaetano, URAEMIC BLEEDING: ROLE OF ANAEMIA AND BENEFICIAL EFFECT OF RED CELL TRANSFUSIONS The Lancet. ,vol. 320, pp. 1013- 1015 ,(1982) , 10.1016/S0140-6736(82)90050-2
F. K. Lin, S. Suggs, C. H. Lin, J. K. Browne, R. Smalling, J. C. Egrie, K. K. Chen, G. M. Fox, F. Martin, Z. Stabinsky, Cloning and expression of the human erythropoietin gene. Proceedings of the National Academy of Sciences of the United States of America. ,vol. 82, pp. 7580- 7584 ,(1985) , 10.1073/PNAS.82.22.7580
Jose Ferreira de Carvalho, N. R. Draper, H. Smith, Applied regression analysis 2nd ed. Journal of the American Statistical Association. ,vol. 76, pp. 1012- ,(1981) , 10.2307/2287608
ChristopherG Winearls, MartinJ Pippard, MichaelR Downing, DesmondO Oliver, Cecil Reid, P Mary Cotes, EFFECT OF HUMAN ERYTHROPOIETIN DERIVED FROM RECOMBINANT DNA ON THE ANAEMIA OF PATIENTS MAINTAINED BY CHRONIC HAEMODIALYSIS The Lancet. ,vol. 328, pp. 1175- 1178 ,(1986) , 10.1016/S0140-6736(86)92192-6