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maintenance hemodialysis hd
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     56 on maintenance hemodialysis.
     其中维持性血液透析(HD)患者56例,接受肾替代治疗前(ND)患者27例。
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     The characteristics of maintenance hemodialysis in the elderly.
     老年维持性血液透析的特点和分析
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     The Application of Rational-emotive Therapy (RET) in Maintenance Hemodialysis
     理性情绪疗法在维持性血液透析患者中的应用研究
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     Objective To investigate the characteristics of maintenance hemodialysis(MHD) in the elderly.
     目的分析老年维持性血液透析的特点。
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     AIRCRAFT MAINTENANCE
     飞机维修
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  maintenance hemodialysis hd
We investigated whether recombinant human erythropoietin (rhEPO) therapy affected the lymphocyte subsets in patients on long-term maintenance hemodialysis (HD) with severe anemia.
      
All of the patients were studied longitudinally while undergoing maintenance hemodialysis (HD) and six?months after renal transplantation.
      
L-CVC were employed in 14 patients undergoing maintenance hemodialysis (HD).
      
The study group consisted of 10 children with CRF on conservative treatment, 8 children on continuous ambulatory peritoneal dialysis (CAPD), and 8 children on maintenance hemodialysis (HD).
      
The aim of this study was to evaluate the effect of disease and treatment on cerebral circulation in children on maintenance hemodialysis (HD) and children prior to renal replacement therapy.
      
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The results of determinations of serum thyroid hormones concentrations in 20 uremic patients treated with maintenance hemofiltration (HF) and maintenance hemodialysis (HD), and in 8 non-dialysis uremic patients are reported. It was shown that the levels of serum T3 and T4 were lowered in most of the patients of these 3 groups, while the concentration of TSH increased significantly, and the mean rT3 was in the normal range. It was found that the concentrations of these thyroid hormones...

The results of determinations of serum thyroid hormones concentrations in 20 uremic patients treated with maintenance hemofiltration (HF) and maintenance hemodialysis (HD), and in 8 non-dialysis uremic patients are reported. It was shown that the levels of serum T3 and T4 were lowered in most of the patients of these 3 groups, while the concentration of TSH increased significantly, and the mean rT3 was in the normal range. It was found that the concentrations of these thyroid hormones in patients with different groups of age and different modalities of treatment were not significantly different, but the mean serum T3 in patients on 1-2 year of HF and HD was approximately normal as compared with those who were treated longer than 1 or 2 years. The results gave the facts that phypothyroidism is common in patient with uremia, but the modality of treatment (HF or HD) does not influence the thyroid function.

本文观察了20例检测作维持性血液滤过(HF)和血液透析(HD)病人及8例作非透析疗法的尿毒症患者的血清甲状腺激素的浓度,发现大部分患者血清T_3、T_4的水平显著降低,少数处正常低值,同时伴有TSH浓度的明显升高,而rT_3的均值在正常范围。按不同年龄和不同治疗方法分组观察比较,各组间无显著差异。而根据治疗时间长短分组比较,在持续治疗1~2年组血清T_3的均值较接近正常范围,有统计学意义。研究说明:尿毒症病人存在甲状腺功能降低(甲减),但血液净化中各种疗法对病人的甲状腺功能无特别影响。

Plasma level of KPTT, factor Ⅷ coagulant activity, factor Ⅷ-related antigen, fibrlnogen, antithrombin Ⅲ activity, antithrombin Ⅲ antigen, tissue-plasminogen activator activity (t-PA: C), plasminogen activator inhibitor activity (PAI: C), PAI: C/t-PA: C, plasmin activity (PLm:C), D-dimer and plasma platelet α granule membrane protein were ditermined in 26 patients treated by long-term peritoneal dialysis (PD group), 17 patients with chronic renal failure undergoing conservative therapy (CRF group), 36 patients...

Plasma level of KPTT, factor Ⅷ coagulant activity, factor Ⅷ-related antigen, fibrlnogen, antithrombin Ⅲ activity, antithrombin Ⅲ antigen, tissue-plasminogen activator activity (t-PA: C), plasminogen activator inhibitor activity (PAI: C), PAI: C/t-PA: C, plasmin activity (PLm:C), D-dimer and plasma platelet α granule membrane protein were ditermined in 26 patients treated by long-term peritoneal dialysis (PD group), 17 patients with chronic renal failure undergoing conservative therapy (CRF group), 36 patients on maintenance hemodialysis (HD group)and 20 age & sex-matched normal controls (NC group). The results showed: 1. PD group had hypercoagulable state than NC group. The prothrombotic state in PD patients was most severe in contrast with CRF patients and HD patients. 2. When PD group was compared with NC group,PLm:C showed no significant differences, but they had secondary fibrinolysis following enhanced coagulation. Moreover, PLm =C in PD group was significantly depressed as compared with in CRF group. 3. the activated platelets in the PD patients were significantly elevated as compared with in the normal controls.

为了阐明慢性肾功能衰竭患者腹膜透析(PD)治疗中出血倾向和血栓形成倾向并存的矛盾状态,对26例慢性肾功能衰竭行PD治疗患者(PD组)、17例慢性肾功能衰竭保守治疗患者(CRF组)、36例慢性肾功能衰竭行血液透析治疗患者(HD组)与20例正常对照者(NC组)的凝血、抗凝血、纤维蛋白溶解(纤溶)及血小板功能进行了综合研究。结果发现:(1)PD组与正常对照组相比里高凝状态,并区PD组患者的高凝倾向比CRF组及HD组患者更严重;(2)PD组的纤港酶活性与正常对照组比较,差异不显著,但表现为继发性纤溶功能亢进,同时PD组患者纤维蛋白溶酶活性低于CRF组;(3)PD患者体内激活的血小板数目明显高于正常对照组。

Objective:The aim of this study is to investigate the hypercoagulate state existing among patients with chronic renal failure (CRF) and to evaluate the effect of continuous ambulatory peritoneal dialysis (CAPD) on some coagulation factors.Results:TT,APTT were significantly shortened,Fbg,vWF:Ag,Ⅷ:C significantly increased,t PA and AT Ⅲ:A significantly decreased in conservatively treated CRF patients,Patients on CAPD or maintenance hemodialysis...

Objective:The aim of this study is to investigate the hypercoagulate state existing among patients with chronic renal failure (CRF) and to evaluate the effect of continuous ambulatory peritoneal dialysis (CAPD) on some coagulation factors.Results:TT,APTT were significantly shortened,Fbg,vWF:Ag,Ⅷ:C significantly increased,t PA and AT Ⅲ:A significantly decreased in conservatively treated CRF patients,Patients on CAPD or maintenance hemodialysis (HD).Plasma vWF:Ag/Ⅷ:C ratio and factor Ⅴ activity increased significantly in the former two groups.CAPD can partially reduce the elevated vWF:Ag,Ⅷ:C levels and prolong APTT.All tested coagulants,anticoagulants,TT and APTT were not related to the age,duration of sickness,blood pressure,hemoglobin,BUN,Cr and the duration of dialysis of the patients.Conclusion:Patients with CRF have hypercoagulable state and CAPD can relieve the hypercoagulability to a certain extent.

目的:探讨尿毒症患者存在高凝状态的情况及腹透或血透对血浆部分凝血因子和抗凝物质的影响。方法:检测了71例慢性肾功衰、尿毒症患者及47例正常对照有关高凝状态的10项指标,并对其中16例患者在透析1~3月后进行上述指标的复查。结果:尿毒症未透析者、CAPD者及血透者TT、APTT缩短,Fbg、vWF:Ag、VⅢ:C及vWF:Ag/VⅢ:C比值增高,tPA及ATⅢ:A降低。腹膜透析能使vWF:Ag、VⅢ:C降低、APTT缩短情况好转。尿毒症患者各凝血、抗凝指标与患者年龄、病程、血压、BUN、Cr、血色素及透析时间无相关性。结论:尿毒症患者存在高凝状态,CAPD对尿毒症高凝状态有一定的改善。

 
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