人工臓器
Online ISSN : 1883-6097
Print ISSN : 0300-0818
ISSN-L : 0300-0818
高Na透析療法(HINAM)
(循環血漿量と除水)
小林 峰徳西堀 文男鈴木 利昌江良 和雄久保 和雄鈴木 利昭阿岸 鉄三太田 和夫杉野 信博加藤木 和徳今村 武志高橋 芳正
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1982 年 11 巻 2 号 p. 448-451

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High sodium dialysis method (HINAM) is applied to prevent disequibrium syndrom and to remove the excess water from the patient without any untoward symptoms. We tried to clarify the mechanism of this method by means of the ratio of the removal of water (ΔBW/DW) and the ratio of plasma protein level (Pri/Prf).
The results of this study are as follows; 1) It is suggested that the effect of the removal of water on the changes of plasma volume in HINAM is less than that in conventional dialysate method. 2) The frequency of untoward symptoms is more significantly decreased with high sodium dialysate. 3) Dry weight of the patient in HINAM is reduced by approximately 2.5kg compared with that in conventional sodium dialysate method.
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