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1991年4月至92年8月,我们采用调节透析液钠浓度的方法对353例次规律性血液透析(HD)进行了观察,并与对照组137例次进行对比,报告如下: 材料与方法:本组13例,男9例,女4例,年龄24～70岁。透析机为有自动控制钠浓度及容量超滤的贝朗“β”及“D”型。透析液为本院配制的醋酸盐透析液。HD中除钠浓度进行选择外,其他条件不变。序贯透析。每周2～3次。分组:Ⅰ组对照组:所有病例均采用Na~+137mnol/L4h;Ⅱ组:透析前B_p<18/12kpa,及有胸腹水者,采用Na~+148mnol/L3h～140mnol/L1h;Ⅲ组:无胸腹水,透前B_p<24/16kpa,<18/12kpa者采用Na~+140mnol/L4h。
From April 1991 to August 1992, we monitored 353 subnormal hemodialysis (HD) using a method of adjusting the sodium concentration in the dialysate and compared it with 137 controls in the control group as follows: Materials and Methods : This group of 13 cases, 9 males and 4 females, aged 24 to 70 years. Dialysis machine for the automatic control of sodium concentration and volume ultrafiltration Bell “β ” and “D ” type. Dialysate prepared for the hospital acetate dialysate. HD in addition to the concentration of sodium to choose from, the other conditions remain unchanged. Sequential dialysis. 2 ~ 3 times a week. Group Ⅰ: Control group: Na ~ + 137mnol / L4h in all cases; Group Ⅱ: B_p <18 / 12kpa before dialysis and those with hydrothorax and ascites + 148mnol / L3h ~ 140mnol / L1h; No pleural effusion, before B_p <24 / 16kpa, <18 / 12kpa by Na ~ + 140mnol / L4h.