When dialysis patients with chronic renal failure?

If chronic renal failure patients with endogenous creatinine clearance less than or equal to 5 ml per minute when the initiation of dialysis, the more obvious uremic complications, progression of these complications even after maintenance dialysis have prevented. But if the endogenous creatinine clearance rate of initiation of dialysis in 10 to 15 ml per minute, increase long-term survival. If you start dialysis earlier time, you will need dialysis in hospital a short time, while medical costs are relatively low.

If chronic renal failure patients with endogenous creatinine clearance less than or equal to 5 ml per minute when the initiation of dialysis, the more obvious uremic complications, progression of these complications even after maintenance dialysis have prevented. But if the endogenous creatinine clearance rate of initiation of dialysis in 10 to 15 ml per minute, increase long-term survival. If you start dialysis earlier time, you will need dialysis in hospital a short time, while medical costs are relatively low.

So most scholars advocate kidney dialysis began indications: 1, endogenous creatinine clearance rate of 10 ml per minute initiation of dialysis. Diabetes can advance to the endogenous creatinine clearance rate of 15 ml per minute. Other reference indicators: blood urea nitrogen than or equal to 28.6 mmol per liter; serum creatinine greater than or equal 707 micromoles per liter; hyperkalemia; metabolic acidosis and uremia symptoms; 2, small retention; anemia , pericarditis, hypertension, gastrointestinal bleeding, renal osteodystrophy, peripheral neuropathy and central nervous system symptoms.

Long-term restricted protein intake, resulting in blood urea nitrogen at a low level, so as not to start dialysis urea nitrogen level indicators. Also, because patients, especially elderly patients and less activity muscle mass, can also cause reduced serum creatinine, serum creatinine alone should not be so low as the index began dialysis, and creatinine clearance should prevail.

Select the timing of dialysis patients with chronic renal failure is very important to have a direct impact on the development and consequences of the disease, it should be special attention.

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