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患者,女性,32岁。因全身浮肿1周余而入院,经检查后诊断为:Ⅰ型糖尿病、糖尿病肾病、肾功能衰竭(尿毒症期)。血检:GLU 11.93mmol/L,UA 478.0μmol/L,Cr 829.0μmol/L,BUN29.50 mmol/L,TT 48.0g/L,ALB 22.70g/L,GLDB 25.30g/L,HGB55.0g/L,K~+ 5.06mmol/L。尿检:GLU 2+,PRO 3+。血肌酐清除率为9.2 ml/min。符合血液透析指征,给予碳酸氢盐血液透析治疗。透析按常规肝素化透析,透析开始时给予肝素12mg,透析过程中给予 6mg/h维持,血流量为 220～240ml/min,uf 2 000ml,历时近 3小时,BP为 115～142/64～82mmHg,
Patient, female, 32 years old. Due to systemic edema for more than 1 week and admission, after examination diagnosed as: type I diabetes, diabetic nephropathy, renal failure (uremia). Blood tests: GLU 11.93mmol / L, UA 478.0μmol / L, Cr 829.0μmol / L, BUN 29.50mmol / L, TT 48.0g / L, ALB 22.70g / L, GLDB 25.30g / L, HGB 55.0g / L, K ~ + 5.06mmol / L. Urinalysis: GLU 2 +, PRO 3+. Serum creatinine clearance was 9.2 ml / min. In line with hemodialysis indications, given bicarbonate hemodialysis treatment. Dialysis was performed on conventional heparinized dialysis with 12 mg of heparin administered at the beginning of dialysis and 6 mg / h of maintenance during dialysis with a blood flow of 220-240 ml / min and a uf of 2 000 ml for nearly 3 hours with a BP of 115-142/64 to 82 mmHg ,