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Clinical and experimental dialysis and apheresis最新文献

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Coagulopathy associated with the use of cephalosporin or moxalactam antibiotics in acute and chronic renal failure. 急性和慢性肾功能衰竭患者使用头孢菌素或莫西康类抗生素引起的凝血功能障碍。
Clinical and experimental dialysis and apheresis Pub Date : 1983-01-01 DOI: 10.3109/08860228309076047
J Clark, R Hochman, A R Rolla, S Thomas, D G Miller, A Kaldany, J A D'Elia
{"title":"Coagulopathy associated with the use of cephalosporin or moxalactam antibiotics in acute and chronic renal failure.","authors":"J Clark,&nbsp;R Hochman,&nbsp;A R Rolla,&nbsp;S Thomas,&nbsp;D G Miller,&nbsp;A Kaldany,&nbsp;J A D'Elia","doi":"10.3109/08860228309076047","DOIUrl":"https://doi.org/10.3109/08860228309076047","url":null,"abstract":"<p><p>Nine azotemic patients who developed a coagulopathy associated with the use of either cephalosporin or moxalactam antibiotics are reported. The acute renal failure patients had neoplastic disorders and were considered to be septic at the time that multiple antibiotics were administered. Four of 5 chronic hemo- or peritoneal dialysis patients also received multiple antibiotics. Nevertheless, the coagulopathy seemed to be most closely associated with the administration of the cephalosporin. One patient received moxalactam as part of the combination therapy for diffuse pulmonary infiltration during renal transplant rejection. Bleeding occurred into the gastrointestinal tract in four patients, into the kidney-urinary tract in three patients, into vascular surgical sites in two patients, and one each into the pulmonary-bronchial and cerebral-ventricular systems. Five operations were performed in four patients: a nephrectomy for massive subcapsular hemorrhage with a prothrombin time that exceeded 100 seconds; arteriovenous graft complicated by post-operative bleeding associated with prolongation of the prothrombin time; elective femoral-popliteal bypass complicated by a prolonged prothrombin time, bleeding into the graft site, hypotension, and a subendocardial myocardial infarction; elective cholecystectomy complicated by a two unit bleed associated with a slightly prolonged prothrombin time, followed by elective femoral-popliteal bypass complicated by a fatal intercerebral bleed associated with a more than twice normal prothrombin time. Cephalosporins are most likely associated with Vitamin K deficiency. Moxalactam is more likely to be associated with platelet dysfunction. Monitoring of the prothrombin time for cephalosporins or the bleeding time for moxalactam is the most reliable way to prevent what may be rapid emergence of clinical bleeding in patients with renal failure.</p>","PeriodicalId":79208,"journal":{"name":"Clinical and experimental dialysis and apheresis","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"1983-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.3109/08860228309076047","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"17726376","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 9
Social support as a mediator of psychological dysfunctioning and a determinant of renal failure outcomes. 社会支持作为心理功能障碍的中介和肾功能衰竭结果的决定因素。
Clinical and experimental dialysis and apheresis Pub Date : 1983-01-01 DOI: 10.3109/08860228309076064
H J Burton, R M Lindsay, S A Kline
{"title":"Social support as a mediator of psychological dysfunctioning and a determinant of renal failure outcomes.","authors":"H J Burton,&nbsp;R M Lindsay,&nbsp;S A Kline","doi":"10.3109/08860228309076064","DOIUrl":"https://doi.org/10.3109/08860228309076064","url":null,"abstract":"","PeriodicalId":79208,"journal":{"name":"Clinical and experimental dialysis and apheresis","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"1983-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.3109/08860228309076064","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"17730569","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 15
Ketoconazole treatment of fungal infection in acute renal failure. 酮康唑治疗真菌感染急性肾功能衰竭。
Clinical and experimental dialysis and apheresis Pub Date : 1983-01-01 DOI: 10.3109/08860228309076048
S Nakasato, G M Shah, R L Morrissey, R L Winer
{"title":"Ketoconazole treatment of fungal infection in acute renal failure.","authors":"S Nakasato,&nbsp;G M Shah,&nbsp;R L Morrissey,&nbsp;R L Winer","doi":"10.3109/08860228309076048","DOIUrl":"https://doi.org/10.3109/08860228309076048","url":null,"abstract":"<p><p>A patient with diabetes mellitus and acute renal failure requiring hemodialysis developed Candida sepsis which was effectively treated with the oral antifungal drug, ketoconazole. Plasma drug levels during hemodialysis suggested that ketoconazole was not dialyzed, but that its pharmacokinetics, specifically gastrointestinal absorption, may be altered in renal failure.</p>","PeriodicalId":79208,"journal":{"name":"Clinical and experimental dialysis and apheresis","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"1983-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.3109/08860228309076048","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"17384329","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 3
Experimental and clinical study on ATP-MgCl2 administration for postischemic acute renal failure. ATP-MgCl2治疗缺血性急性肾功能衰竭的实验与临床研究。
Clinical and experimental dialysis and apheresis Pub Date : 1983-01-01 DOI: 10.3109/08860228309076038
H Hirasawa, M Odaka, K Soeda, H Kobayashi, Y Ohtake, S Oda, S Kobayashi, H Sato
{"title":"Experimental and clinical study on ATP-MgCl2 administration for postischemic acute renal failure.","authors":"H Hirasawa,&nbsp;M Odaka,&nbsp;K Soeda,&nbsp;H Kobayashi,&nbsp;Y Ohtake,&nbsp;S Oda,&nbsp;S Kobayashi,&nbsp;H Sato","doi":"10.3109/08860228309076038","DOIUrl":"https://doi.org/10.3109/08860228309076038","url":null,"abstract":"<p><p>The present study was undertaken to investigate the effect of ATP-MgCl2 on the recovery of renal function following renal ischemia. Bilateral renal ischemia was produced for 90 minutes in dogs. Immediately after the release of ischemia, ATP-MgCl2 (50 mumoles/kg) was given intravenously. Serum creatinine and FeNa were measured following the release of ischemia. Renal cellular energy charge, glomerular endothelial thickness and per cent circularity of interstitial cells were measured. Creatinine and FeNa were significantly lower in ATP-MgCl2 treated dogs compared to those in saline treated controls. Changes in energy charge, glomerular endothelial thickness and per cent circularity indicated ischemically induced renal cellular edema was reversed with ATP-MgCl2 through the improvement of energy metabolism. Taking those experimental data into consideration, ATP-MgCl2 was given to 16 acute renal failure patients and 13 patients survived. ATP-MgCl2 administration is effective for the treatment of acute renal failure.</p>","PeriodicalId":79208,"journal":{"name":"Clinical and experimental dialysis and apheresis","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"1983-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.3109/08860228309076038","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"17660079","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 12
Sexual dysfunctions of hemodialysis patients. 血液透析患者的性功能障碍。
Clinical and experimental dialysis and apheresis Pub Date : 1983-01-01 DOI: 10.3109/08860228309076056
N B Levy
{"title":"Sexual dysfunctions of hemodialysis patients.","authors":"N B Levy","doi":"10.3109/08860228309076056","DOIUrl":"https://doi.org/10.3109/08860228309076056","url":null,"abstract":"<p><p>Our knowledge of the sexual dysfunctions of patients with renal failure is in a relatively early phase. We have only recently proceeded to know what are some of their sexual dysfunctions. A good deal of the answers while lie ahead must be in the field of renal endocrinology which still is in its earliest phases. The little that we know is largely restricted to the male and the dysfunctions of females, in many cases much can be done to improve this important aspect of life.</p>","PeriodicalId":79208,"journal":{"name":"Clinical and experimental dialysis and apheresis","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"1983-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.3109/08860228309076056","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"17730563","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 17
Pathophysiology of the acutely failing kidney. 急性肾衰的病理生理学。
Clinical and experimental dialysis and apheresis Pub Date : 1983-01-01 DOI: 10.3109/08860228309076036
K Thurau
{"title":"Pathophysiology of the acutely failing kidney.","authors":"K Thurau","doi":"10.3109/08860228309076036","DOIUrl":"https://doi.org/10.3109/08860228309076036","url":null,"abstract":"","PeriodicalId":79208,"journal":{"name":"Clinical and experimental dialysis and apheresis","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"1983-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.3109/08860228309076036","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"17933396","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 1
Obstacles to the delivery of psychiatric care to transplant recipients and dialysis patients. 向移植受者和透析患者提供精神护理的障碍。
Clinical and experimental dialysis and apheresis Pub Date : 1983-01-01 DOI: 10.3109/08860228309076061
T P Kalman
{"title":"Obstacles to the delivery of psychiatric care to transplant recipients and dialysis patients.","authors":"T P Kalman","doi":"10.3109/08860228309076061","DOIUrl":"https://doi.org/10.3109/08860228309076061","url":null,"abstract":"<p><p>Despite treatment gains in knowledge about the psychological difficulties of patients with end-stage-renal disease, the psychiatric morbidity of this patient population remains critically high. This paper explores in detail and with several clinical illustrations the variety of \"resistances\" that stand as obstacles to the effective delivery of psychiatric care to transplant recipients and dialysis patients. These obstacles can be classified in three broad areas: 1) resistances posed by the ESRD patients, 2) interferences created by the medical staff, and 3) those resistances created by psychiatrists themselves. In addition to providing many examples of these resistances, this paper explores the underlying dynamic issues that are involved and suggests ways by which the delivery of psychiatric care to ESRD patients can be improved.</p>","PeriodicalId":79208,"journal":{"name":"Clinical and experimental dialysis and apheresis","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"1983-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.3109/08860228309076061","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"17433549","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 3
Post-partum hemolytic uremic syndrome: treatment with plasma exchange. 产后溶血性尿毒症综合征:血浆置换治疗。
Clinical and experimental dialysis and apheresis Pub Date : 1983-01-01 DOI: 10.3109/08860228309076046
B R Gordon, S D Saal
{"title":"Post-partum hemolytic uremic syndrome: treatment with plasma exchange.","authors":"B R Gordon,&nbsp;S D Saal","doi":"10.3109/08860228309076046","DOIUrl":"https://doi.org/10.3109/08860228309076046","url":null,"abstract":"<p><p>Four patients with post-partum hemolytic uremic syndrome were treated with plasma exchange using fresh frozen plasma as replacement. Each patient had microangiopathic hemolysis, thrombocytopenia, and progressive renal and hepatic failure. Disseminated intravascular coagulation was a major feature in each case. The microangiopathy and thrombocytopenia resolved in each patient following plasma exchange. Normalization of renal and hepatic function occurred in three patients, including one patient who died as a result of coronary artery dissection. One patient died as a result of an intracerebral bleed. Plasma exchange with fresh frozen plasma replacement appears to be of benefit if used early in the course of post-partum hemolytic uremic syndrome.</p>","PeriodicalId":79208,"journal":{"name":"Clinical and experimental dialysis and apheresis","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"1983-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.3109/08860228309076046","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"17726375","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 9
The study of sexual dysfunction in uremic males: problems for patients and investigators. 男性尿毒症患者性功能障碍的研究:患者和研究者面临的问题。
Clinical and experimental dialysis and apheresis Pub Date : 1983-01-01 DOI: 10.3109/08860228309076057
W R Procci
{"title":"The study of sexual dysfunction in uremic males: problems for patients and investigators.","authors":"W R Procci","doi":"10.3109/08860228309076057","DOIUrl":"https://doi.org/10.3109/08860228309076057","url":null,"abstract":"<p><p>Sexual dysfunction is a common complication of End Stage Renal Disease (ESRD). This paper discusses the shortcomings of research efforts in this area and presents an overview of our research.</p>","PeriodicalId":79208,"journal":{"name":"Clinical and experimental dialysis and apheresis","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"1983-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.3109/08860228309076057","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"17730564","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 14
Meaning as an intervening variable. 作为一个中间变量。
Clinical and experimental dialysis and apheresis Pub Date : 1983-01-01 DOI: 10.3109/08860228309076065
M Viederman
{"title":"Meaning as an intervening variable.","authors":"M Viederman","doi":"10.3109/08860228309076065","DOIUrl":"https://doi.org/10.3109/08860228309076065","url":null,"abstract":"<p><p>In this paper, the author emphasizes the practical importance for the internist of determining the underlying content of the patient's fantasies about his illness and its treatment. These fantasies are often the cause of the anxiety and depression that accompanies physical illness and may be quite divorced from the reality of the situation. When the particular fantasies are elicited, the physician will be in a position often to directly reassure the patient about unrealistic concerns. By communicating his understanding, the physician increases the power of the patient's bond to him and is in a position to substantially alleviate emotional distress that stems from physical illness.</p>","PeriodicalId":79208,"journal":{"name":"Clinical and experimental dialysis and apheresis","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"1983-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.3109/08860228309076065","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"17433550","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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