Long 3 x 8 hr dialysis: a three-decade summary.

摘要: A long hemodialysis (HD), 3 x 8 hours/week, has been used without significant modification in Tassin for 35 years with excellent morbidity and mortality results. It can be performed during the day or overnight. The relatively good survival is mainly due to a lower cardiovascular than usually reported dialysis patients. This turn control of blood pressure (BP) including drug-free hypertension low incidence intradialytic hypotension. BP probably result tight extracellular volume normalization (dry weight), although one cannot exclude effect other factors such as serum phosphorus well achieved using dialysis. high dose small even more middle molecules another essential virtue dialysis, leading nutrition, correction anemia, phosphate potassium doses medications providing very cost-effective treatment. In 2002 must aim at optimal rather just adequate Optimal needs correct perfectly possible each every abnormality renal failure. longer (or frequent) sessions. Overnight most logical way implementing HD lowest hindrance on patient's life. Due change case mix decreasing number patients are able willing go overnight education autonomous difficult, but benefit still there.