Abstract
We studied symptomatic types and therapeutic effects of the dialysis disequilibrium syndrome (DDS) in hemodialysis (HD) with acetate dialysate using two group: 10 cases of the unexperienced (within three months after initiation of HD) and 20 cases of the experienced (over three months). In the former, nausea, vomiting and discomfort were seen during HD. Headache and head discomfort were obserbed in the later and after HD, and 10% glycerine was more effective than analgesics for these symptoms. Arterial blood (AB) and cerebro-spinal fluid (CSF) were drawn in three patients and analyzed. The difference in osmotic pressure between AB and CSF were seen during HD and also that of pH after HD. Hypotension was most common symptom in the experienced which was seen in later part of HD. 64 cases were newly treated with HD using acetate dialysate in 1983. 13 cases complained of venous symptom and their dialysate was changed to bicarbonate solusion.
