Skip to main content
Log in

Results of treatment of acute intoxications by dialysis in dialysis centers of the GDR from 1959 to 1968

  • Published:
International Urology and Nephrology Aims and scope Submit manuscript

Abstract

From 1959 to 1968 a total of 318 intoxications have been dialyzed mostly by haemodialysis in 15 dialysis centers in the GDR. The total survival rate was 71.4 per cent. The incidence of posonings in per cent of total (the survival rate in breackets) was: Hypnotics without Methaqualon 33 (84%), soap abortion 13 (63%), carbon tetrachloride 11.6 (67%) Amanita phalloides 7.5 (67%), dichloroethane 7.5 (67%), slowly dialyzable compounds 6.3 (75%), Hg-compounds 3.8 (83%), town gas 2.5 (62%), acetic acid 2.5 (12%) and rare poisonings 12.3 (77%). The results are discussed. The prophylactic dialysis, i.e. before beginning of renal failure particularly in poisonings with nephrotoxic compounds, is recommended. About 5 patients per 1 million inhabitants are dialyzed per year because of acute intoxication. The increasing use of toxic substances in industry and household demands a close cooperation between intensive care units, reaniation centers, dialysis units and the existing toxicologic consultation centers.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Similar content being viewed by others

References

  1. Alwall, N.: Extracorporale Dialyse. In: Aktuelle Probleme der Dialyserverfahren und der Niereninsuffizienz. II. Symposium at Innsbruck 1967. Karl Bindernagel, Friedberg/Hessen, 1967.

    Google Scholar 

  2. von Dittrich, P., Gurland, H. J., Kessel, M., Massini, M. A., Wetzels, E.: Hämodialyse und Peritonealdialyse. Springer Verlag, Berlin 1969.

    Google Scholar 

  3. Jutzler, G. A.: Zur Frage des akuten Nierenversagens nach Essigsäure-Intoxikationen. In: Akutes Nierenversagen. Georg Thieme, Stuttgart 1962.

    Google Scholar 

  4. Linton, A. L., Luke, R. G., Speirs, J., Kennedy, A. C.: Forced diresis and hemodialysis in severe barbiturate intoxication.Lancet 1, 1008 (1964).

    Google Scholar 

  5. Maher, J. F., Schreiner, G. E.: Acute glutehimid poisoning. II. The use of hemodialysis.Trans. Amer. Soc. Artific. Intern. Organs 7, 100 (1961).

    Google Scholar 

  6. Maher, J. F., Schreiner, G. E.: The dialysis of poisons and drugs.Trans. Amer. Soc. Artific. Intern. Organs 13, 369 (1967).

    Google Scholar 

  7. Maher J. F., Schreiner, G. E., Westervelt, F. B.: Acute glutethimid intoxicatiion. I. Clinical experience (22 patients) compared to acute bartiburate intoxication (63 patients).Amer. J. Med. 33, 70 (1962).

    Google Scholar 

  8. Osten, B., Hennghausen, H., Külz, J., Rohmann, E., Gläsel, E.: Hämodialyse bei Knollenblätterpilzvergifutungen. Internationale Tagung der Gesellschaft für Nephrologie der DDR, Rostock 1969.

  9. Reed, C. E., Driggs, M. F., Foote, C. C.: Acute barbiturate intoxication. A tudy of 300 cases based on a physiologic system of classification of the severrity of the intoxication.Ann. Intern. Med. 37, 290 (1952).

    Google Scholar 

  10. Schreiner, G. E.: The role of hemodialysis (artificial kidney) in acute poisoning.A. M. A. Arch. Int. Med. 102, 896 (1958).

    Google Scholar 

  11. Schreiner, G. E., Maher, J. F.: Toxic nephropathy.Amer. J. Med. 38, 409 (1965).

    Google Scholar 

  12. Thölen, H., Fröhlich, Th., Huber, F., Massini, M. A.: Frühzeitige Hämodialyse bei Vergiftungen mit Amanita phalloides.Dtsch. Med. Wschr. 90, 1364 (1965).

    Google Scholar 

  13. Wetzels, E.: Discussion, in: Akutes Nierenversagen. Georg Thieme, Stuttgart 1962.

    Google Scholar 

Download references

Authors

Additional information

The present review was compiled by the working team “Dialyse” in the “Problemkommission Urologie/Nephrologie der DDR”, on the basis of a survey conducted in the following dialysis centers: Berlin-Charité, Rostock, Berlin-Buch, Magdeburg, Halle, Leipzig, Jena, Aue, Erfurt, Greiswald, Frankfurt/Oder, Potsdam, Schwerin, Cottbus, Görlitz.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Dutz, H., Eckhardt, D., Althaus, P. et al. Results of treatment of acute intoxications by dialysis in dialysis centers of the GDR from 1959 to 1968. International Urology and Nephrology 2, 55–60 (1970). https://doi.org/10.1007/BF02081623

Download citation

  • Received:

  • Issue Date:

  • DOI: https://doi.org/10.1007/BF02081623

Keywords

Navigation