Pulmonary Function and Arterial Blood Gas in the Long-Term Hemodialysis Patient
Very little is known about pulmonary mechanical function and blood gas exchange in uremic patients undergoing maintenance hemodialysis over a prolonged period. Because of the presence at our institution of a unique group of maintenance hemodialysis patients who had survived for a decade or longer, we initiated a study to assess their pulmonary function. We also investigated pulmonary function before and after dialysis in patients who had been treated by dialysis for a shorter period.1–4“ The purpose of our study was to determine whether or not pulmonary abnormalities develop in hemodialysis patients after 8 to 11 years, as compared with the normal population. We attempted to ascertain whether these abnormalities, if present, improve acutely after each dialysis.
KeywordsPulmonary Function Interstitial Fibrosis Inspiratory Capacity Lung Dynamic Expiratory Reserve Volume
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- 1.Meyers BD, Rubin AE, Schey G, et al: Functional characteristics of the lung in chronic uremia treated by renal dialysis therapy. Chest 68: 2, 1975.Google Scholar
- 2.Fairshter RD, Vaziri ND, Wilson AF, et al: Respiratory physiology before and after hemodialysis in chronic renal failure patients. Am J Med Sci 278: 1, 1979.Google Scholar
- 3.Stanescu DC, Veriter C, DePlaeu JF, et al: Lung functions in chronic uremia before and after removal of excess of fluid by hemodialysis. CJin Sci Molecular Med 47: 143, 1974.Google Scholar
- 8.Protti DJ, Craven N, Naimark A, et al: Computer assistance in the clinical investigations of pulmonary function studies. Meth Info Med 12: 102, 1973.Google Scholar
- 11.Sherlock J, Ledwith J: Reflex hypoventilation and decreased arterial oxygen tension during ultrafiltration. In Proceedings Dialysis Transplant Forum 1978, p 250.Google Scholar
- 12.Carlon GC, Campfield RN, Goldinger PL: Hypoxemia during hemodialysis. Crit Care Med 7: 11, 1979.Google Scholar
- 15.Patterson RW, Nissenson AR, Miller J, et al: Hypoxemia and pulmonary gas exchange during hemodialysis. J Appl Phys 50: 2, 1981.Google Scholar