图书简介
This book describes a unique advance in medicine pioneering the treatment of renal failure: dialysis or ’washing’ the blood. It is a story of ideas, of new materials and of dedicated persistant pioneers as well as brave patients. Almost a million people are alive today thanks to dialysis techniques.
1 Why a history of dialysis?; 2 Replacement of body function by mechanical means.; 3 The science of dialysis: uraemic toxins.; 4 The science of dialysis: osmosis, diffusion and semi-permeable membranes.; 5 Anticoagulants and extracorporeal circuits: the first haemodialysis.; 6 The search for new dialysis membranes: the peritoneum and peritneal dialysis.; 7 The first heamodialyses in humans: the introduction of heparin and cellophane.; 8 The first practical dialysis machines.; 9 Peritoneal and intestinal dialysis after the second world war.; 10 The background: the emergence of acute renal failure as a syndrome.; 11 The spread of dialysis treatment for acute renal failure: 1947-1960.; 12 New designs of artificial kidney.; 13 The role of dialysis technology in the founding of Nephrology.; 14 New materials end new methods of access I: long-term haemodialysis becomes possible.; 15 New materials and new methods of access II: long-term peritoneal dialysis becomes possible.; 16 Dialysis patients in the 1960s and 1970s: old and new complications.; 17 New technical advances and new problems.; 18 Unexpected consequences: aluminium toxicity and dialysis amyloidosis.; 19 Peritoneal dialysis transformed: CAPD.; 20 Good news and bad news: treatment of anaemia, and the rising tide of diabetic nephropathy; withdrawl from dialysis.; 21 The introduction growth of long-term dialysis during the 1960s in its fiscal and socio-political context.; 22 Conclusion: dialysis today - and tomorrow?
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