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探讨一种对高度肾病性水肿的救治方法-单纯血液滤过法。方法:采用便移式人工肾(MR-100型便移式血液透析机;应用聚砚、聚丙烯晴膜滤过器;按常规血液透析的方法准备血管通道;常规肝素化方法;血流量150-200ml/min;每次治疗滤过液总量5000-7800ml)滤过率20-32ml/min。根据病情适当补充品体和胶体溶液,维持有效血循环容量,使体循环血压维持在正常范围。结果:2例共进行了29例次,1例诊断为重症难治性肾病综合症,经单纯血液游过(SHF)后,病情明显好转,达到“黄山”会议对难治性肾病综合症的诊断恢复标准。结论:应用MR-100型便移式人工肾机和宁波亚泰生产的游过器进行单纯血液滤过,是一种简便而有效的治疗肾病伴重度体液潴留征的有效手段。
To explore a high degree of nephrotic edema treatment method - simple hemofiltration. Methods: The use of portable artificial kidney (MR-100 portable hemodialysis machine; the use of poly Yan, polypropylene clear membrane filters; routine hemodialysis preparation of vascular access; conventional heparinization method; blood flow 150 -200ml / min; the total amount of filtrate per treatment 5000-7800ml) filtration rate 20-32ml / min. According to the condition of appropriate replenishment and colloidal solution, to maintain effective blood circulation capacity, so that systemic blood pressure maintained at the normal range. Results: A total of 29 cases were performed in 2 cases. One case was diagnosed as severe refractory nephrotic syndrome. After simple blood-let-go (SHF), the condition improved markedly and reached the peak in “Huangshan” meeting on refractory nephrotic syndrome Diagnostic recovery standards. Conclusion: Simple hemofiltration is a simple and effective method to treat renal syndrome with severe body fluid retention by using MR-100 portable artificial kidney machine and Ningbo Yatai wander device.