Problems in the initial stage of hemodialysis in patients over 75 years of age.
-
- Fukushima Tatsuo
- Department of Medicine, Himeji St. Mary's Hospital Department of Nephrology, Kawasaki Medical School
-
- Satoh Tetsuya
- Department of Medicine, Himeji St. Mary's Hospital
-
- Sasaki Tamaki
- Department of Medicine, Himeji St. Mary's Hospital
-
- Yamada Masahiko
- Department of Medicine, Himeji St. Mary's Hospital
-
- Kishimoto Nobuyasu
- Department of Medicine, Himeji St. Mary's Hospital
-
- Kawai Shinichiro
- Department of Nephrology, Kawasaki Medical School
-
- Hashimoto Jun
- Department of Nephrology, Kawasaki Medical School
-
- Matsutani Takuro
- Department of Nephrology, Kawasaki Medical School
-
- Shindo Touru
- Department of Nephrology, Kawasaki Medical School
-
- Hirano Hiroshi
- Department of Nephrology, Kawasaki Medical School
-
- Osawa Gengo
- Department of Nephrology, Kawasaki Medical School
Bibliographic Information
- Other Title
-
- 高齢者腎不全(75歳以上)の透析導入時における問題点
Search this article
Abstract
Clinical findings in elderly patients in the initial stage of hemodialysis were evaluated by comparing deceased and surviving groups. It was found that 75% of renal failure was due to chronic glomerulonephritis and/or nephrosclerosis, 10% to diabetic nephropathy. We found that the deceased group had significantly reduced serum total protein (5.77±0.85 vs 6.62±0.63g/dl. p<0.05) and serum albumin (2.79±0.579/dl vs 3.67±0.53, p<0.01), and higher levels of plasma sodium (145.08±6.47mEq/l vs 137.47±6.42, p<0.05) and chloride (110.67±7.90mEq/l vs 101.67±8.57, p<0.05). Five out of six patients in the deceased group showed hypotension during hemodialysis. These findings may suggest that lower colloid oncotic pressure and hypertonic dehydration in the deceased group.<br>Those in the deceased group had died within 39 days after the introduction of hemodialysis. We conclude that better fluid control in the initial stage of hemodialysis may result in an improved prognosis.
Journal
-
- Nihon Toseki Igakkai Zasshi
-
Nihon Toseki Igakkai Zasshi 29 (1), 45-48, 1996
The Japanese Society for Dialysis Therapy
- Tweet
Details 詳細情報について
-
- CRID
- 1390282679651894656
-
- NII Article ID
- 130003721350
- 10005249166
-
- NII Book ID
- AN10432053
-
- ISSN
- 1883082X
- 13403451
-
- Text Lang
- ja
-
- Data Source
-
- JaLC
- Crossref
- CiNii Articles
-
- Abstract License Flag
- Disallowed