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KMID : 0368019870100020537
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Journal of Soonchunhyang University
1987 Volume.10 No. 2 p.537 ~ p.543
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Three Years Experience with Hemodialysis
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표석주/Pio, Sok Joo
오도연/김정목/현창옥/김선주/홍세용/송병상/O, Do Yun/Kim, Jung Mok/Hyun, Chang Ok/Kim, Son Joo/Hong, Se Yong/Song, Byung Sang
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Abstract
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We describe here our experience with clinical hemodialysis in 44 patients at Chun?Ahn Soonchunhyang Hospital.
The results were as follows :
1. Dyspnea(33.3%) and edema (30.8%) were common initial symptoms.
2. Underlying diseases were unknown in majority(65.8%).
Glomerulonephritis(12.5%) and diabetes mellius(9.4%) revealed common diseases causing end stage renal disease.
3. At the time of entering dialysis schedule BUN was 99.94mg/ dl, Cr 11.53mg / di, K 4.99mEq / t , Ca 7.56 mg / dl, P 5.97 mg / dl , albumin 332gm / dl, total cholesterol 18026 mg / dl, hematocrit 23.16%, Ccr 4.42ml / min.
4. Problems in vascular access were most frequent complication causing admission(32.4%) and congestive heart failure(23.5%) was second most.
5. 2 patients(6.3%) died within 3 moths of dialysis and 15 patients(34.1%) were lost to follow-up a few months of dialysis.
6. In predialysis blood in patients with chronic hemodialysis BUN was 75.88mg / dl, Cr 11.68mg / di, K 5. 48mEq / I, Ca 9.28% / dl , P 3.96mg / dl , hematocrit 19.81%.
Hemodialysis is a major thrapeutic modality for patients with end stage renal disease but many problems remain to be solved. Improved financing, selection of patients for chronic hemodialysis, efforts for reducing complication, teaching patients and so on.
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