2015年9月9日星期三

Indication of Hemodialysis - Shijiazhuang Kidney Disease Hospital

Hemodialysis is one of the methods in treating Acute or Chronic Renal Failure, which aims at replacing parts functions of Renal Failure, such as eliminating supersession, adjusting water, electrolyte and acid-base balance, etc. Dispersion, convection, ultrafiltration, adsorption and so on are the fundamental theory of hemodialysis. So far, the basic indications of hemodialysis in China are that:
1. Acute Renal Failure
(1) Acute pulmonary edema;
(2) Potassium in blood is above or equal to 6.5 mmol/L;
(3) High-catabolism;
(4) Oliguria or anuria lasts for over 2 days. Serum creatinine is above or equal to 442μmol/L(5mg/dl); blood urea nitrogen is no less than 21.4 mmol/L(60mg/dl);
(5)Obvious symptoms of Uremia.
2. Chronic Renal Failure
(1) Ccr ( Creatinine clearance rate) is less than 10ml/min;
(2) Scr (Serum creatinine) is no less than 707μmol/L(8mg/dL);
(3) Blood urea nitrogen is no more than 28.6 mmol/L(8Omg/dL)
(4) Hyperkalemia;
(5) Metabolic acidosis;
(6) Obvious water retention;
(7) Obvious Uremic symptoms;
(8) Serious complications, such as anemia, pericarditis, gastrointestinal hemorrhage and so on.
After having known the indications of hemodialysis, patients can take dialysis according to their condition.

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