Relation between blood and CSF in renal failure. Dialysis disequilibrium syndorome and brain death.

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Other Title
  • 腎不全における血液と髄液の相関性　　透析不均衡症候群および脳死
  • -DIALYSIS DISEQUILIBRIUM SYNDOROME AND BRAIN DEATH-
  • ―透析不均衡症候群および脳死―

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Abstract

Arterial blood (B) and CSF (C) of hemodialysis (HD) patients were obtained and analysed to investigate dialysis disegailibrium syndrome (DDS). B-BUN was decreased more significantly compared to C-BUN during HD. As a result, this caused the folowing condition: B-Osm<C-Osm. B-pH was increased but C-pH was almost constant. These two differences in pH and Osm between B and C were thought to be related to DDS. Although B-K, B-Ca and B-P were changed greatly, the changes of C-K, C-Ca and C-P were very small. This stability of CSF were recognized in a case with cerebral bleeding and continued for two days after brain death. The low concentration and smaller change of C-Cr, compared to B-Cr, probably indicate that Cr has more toxicity than BUN.

Journal

  • Jinko Zoki

    Jinko Zoki 16 (2), 851-855, 1987

    JAPANESE SOCIETY FOR ARTIFICIAL ORGANS

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