抄録
This paper is a report of an utilization of artificial kidney for multi-purposes.
1. trial as a membrane oxygenetor:
Hollow Fiber Artificial Kidney (HFAK), and Disporsable Rhone-Poulene-Dialyser were used as a membrane oxygenator. Its efficiencies were tested by experimental studies. Clinical studies were also performed with series connection of three artificial kidney, one for extra-corporeal ultrafiltration method (SCUM), one for dialysis and one for exygenetor. Both experimental and clinical studies showed excellent results. Poor risk patient was successfully treated with utilization of artificial kidney for multipurposes. Extracorporeal circulation from vena cava to aorta, by use of membrane oxygenator with ECUM, is highly recommended for dialysis treatment of poor risk patient.
2. trial as a removal of cirrhotic ascitis by modified ultrafiltration using a HFAK: HFAK were used to control cirrhotic ascitis in 7 patients. HFAK was placed in vertical position and no dialysate was circulated. The inlet of the dialysis compartment was sealed by a rubber cap, and the outlet was connected to suction via a bottle. Four out of 7 patients were discharged from hospital with good clinical condition. Utilization of artificial kidney for multipurpose is highly recommended for treatment of cirrhotic ascitis patient.
