Generally,when serum creatinine reach 707umol/L(8mg/dl ,Urine nitrogen is 30mmol/L(80mg/d1 or endogenous creatinine clearance rate of 10ml/min, then dialysis is needed. In addition, acute dialysis is need when blood pressure is out of contr...
Generally,when serum creatinine reach 707umol/L(8mg/dl ,Urine nitrogen is 30mmol/L(80mg/d1 or endogenous creatinine clearance rate of <10ml/min, then dialysis is needed. In addition, acute dialysis is need when blood pressure is out of control,sever swelling,no urine with heart failure, cerebral edema patients; CNS symptoms with pericarditis, gastrointestinal bleeding, (drowsiness, coma, convulsions and other trance) and patients with severe metabolic acidosis (PH <7.2) .
Modern medical has found that when uremia get into a certain stage, and kidney has been significantly reduced with B ultrasound, only medicine cannot work,let alone cured.In particular, do not listen to some of the ads or folk prescription, prescription, medication treatment at this time can not cure the disease, and often exacerbate the condition, so the treatment of uremia should be for the cause of symptomatic treatment. Because, according to the above mentioned, this kind of uremia patients take medicine often lead to drug accumulation (excretion disorder), so the patients with the following indications to start dialysis：
(1)obvious symptoms of uremia, anorexia, nausea, vomiting, dizziness, etc..
(2) serum creatinine more than 707 mm micro L, urea nitrogen is greater than 35.7 mm L, and the acute dialysis is needed when medicine is difficult to control the hyperkalemia more than 6.5 mmol L; medicine is difficult to control hypertension; the sodium and water retention, oliguria, anuria, height of edema and heart failure.
"Artificial kidney", is one of the earliest and most effective treatment of uremia, the most commonly used method, this method is to introduce human blood dialysis tube, and after diffuse convection and ultrafiltration method, the toxic constituents and excess moisture removed from the body, then the blood transfused human body known as washing the core of this blood therapy, cure, is artificial kidney dialysis, dialysis tube, the tube is composed of 8000 ~ 10000 root tubes to kidney disease hospital dialysis, blood flow in the tube, mutual exchange, toxic substances from the dialysate side excretion, but also beneficial to the body. Supplemented from the dialysis fluid, achieve remedial effect.
If patients do not listen to doctors and insist no dialysis, it is likely to delay the disease, there will be serious life-threatening. Therefore, patients with uremia before dialysis should be combined with their physical condition and above standard, under the guidance of doctors.
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