[A method of preparing an arteriovenous shunt for chronic hemodialysis].

The authors discuss their experience in forming arteriovenous fistulas for conducting chronic hemodialysis in 361 patients with accentuation placed on the features of performing repeated and multiple operations. The formation of arteriovenous fistulas in the lower third of the upper arm or the cubital fossa with retrograde blood flow into the venous system is the operal vessels, and a history of multiple operations on the forearm vessels. Hemodialysis in such cases should be started no sooner than two weeks after the operation.

[Correction of disorders of systemic hemodynamics and rheologic indices of the blood in patients with chronic kidney failure during hemodialysis].

During hemodialysis, 44 patients with terminal chronic renal failure were examined for the systemic hemodynamics and blood rheological properties as well as for the possibility of their correction by infusion of the plasma substitutes: polyglucine, rondex or 10% albumin at a volume of 400 ml per administration. It was established that patients on hemodialysis manifested pronounced hemodynamic and rheological disorders. During hemodialysis, the hemodynamic disorders correlated with the changes in the rheological properties of the blood (r = 0.

[Comparative study of hemodialysis methods].

An analysis of the results of chronic hemodialysis on central systems and individual apparatuses in 20 patients with the terminal stage of renal insufficiency was performed. It was established that the use of chemically pure water, disposable systems and dialyzers for hemodialysis ensured a decrease in the number of complications and improved the patients' rehabilitation. Bicarbonate hemodialysis proved to be a highly effective method for the treatment of patients with sodium acetate intolerance, decompensated metabolic acidosis and low arterial pressure.