[Hemodialysis in the treatment of acute kidney failure in hemorrhagic fever with renal syndrome].

Abstract

The results of hemodialysis therapy given in 1988-1994 to 57 patients with acute renal failure at the age of 17-62 years in hemorrhagic fever with renal syndrome (HFRS) are provided. A total of 306 procedures were performed. Hemodialysis was initiated early, before clinical presentation of uremia. The indications for hemodialysis were: oliguria, BUN above 20 mmol/l, serum creatinine level above 0.6 mmol/l. For 11 (19.3%) patients hemodialysis was started because of hyperhydration, for 2 patients (3.5%) it was performed because of hyperkalemia. Infectious complications occurred in 7 (12.3%) patients. One (1.7%) patient died. Hemodialysis induced no complications that could negatively influence the disease. All the patients with severe HFRS need inpatient treatment in hospitals with hemodialysis facilities.

• Authors: A M Shumov, L A Shutova, G R Shapiro
• Journal: Terapevticheskii arkhiv (Ter Arkh) Vol. 68 Issue 6 Pg. 31-2 ( 1996) ISSN: 0040-3660 [Print] Russia (Federation)
• Vernacular Title: Gemodializ v lechenii ostroĭ pochechnoĭ nedostatochnosti pri gemorragicheskoĭ likhoradke s pochechnym sindromom.
• PMID: 8771680 (Publication Type: English Abstract, Journal Article)

Topics

• Acute Kidney Injury (etiology, therapy)
• Adolescent
• Adult
• Combined Modality Therapy
• Diagnostic Errors
• Female
• Hemorrhagic Fever with Renal Syndrome (complications, diagnosis, therapy)
• Humans
• Male
• Middle Aged
• Renal Dialysis (instrumentation, methods)
• Time Factors