RESUMO
South-East region of Poland includes six voivodeships, with about 3.6 mln of inhabitants. Nine dialysis centers work in this region with 273 places to perform maintenance haemodialysis outside Lublin, and 53 places in Lublin Clinic Center. The aim of this paper was to analyse the state of r-Hu EPO treatment in chronic dialysis patients. We would like to compare the treatment possibilities in the clinic unit with other haemodialysis units of our region and with data from Western Europe that we know from EDTA report. Simultaneously we decided to estimate real possibilities of iron treatment monitoring. As it is well known correct management of iron supplementation treatment, allows for the significant reduction of r-Hu EPO administration.
Assuntos
Eritropoetina/uso terapêutico , Diálise Renal , Adolescente , Adulto , Idoso , Contagem de Células Sanguíneas , Eritropoetina/efeitos adversos , Feminino , Ferritinas/sangue , Humanos , Ferro/sangue , Masculino , Pessoa de Meia-Idade , Monitorização Fisiológica , Polônia , Proteínas Recombinantes/administração & dosagem , Proteínas Recombinantes/uso terapêutico , Transferrina/análiseRESUMO
The results of treatment in patients with very advanced renovascular hypertension are presented. The patients were divided into two groups. In group one were patients with only one kidney and renovascular hypertension. The risk of operation and special precautions are discussed. Group two included patients with kidney non-function due to renal artery occlusion and severe hypertension. All these patients were candidates for nephrectomy. During the operation in some of them, the technical possibilities for vascular reconstruction were found. Instead of nephrectomy aortorenal bypasses were done.
Assuntos
Hipertensão Renovascular/cirurgia , Isquemia/cirurgia , Rim/irrigação sanguínea , Adulto , Feminino , Humanos , Rim/cirurgia , Masculino , Pessoa de Meia-Idade , Prognóstico , Grau de Desobstrução VascularRESUMO
A Linton flap operation was performed in 148 patients with post-thrombotic syndrome of the lower extremities. One-hundred and five patients were followed up from 6 months to 10 years and 14.5% of cases had recurrent ulcers. The most common causes of recurrence was further deep venous thrombosis or remaining incompetent perforating veins. All patients with a recurrence of their ulcer had a further operation and incompetent perforating veins were ligated and divided with good clinical results.