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Grundlagen der Nieren- und Leberdialyse

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Medizintechnik

Zusammenfassung

Die Dialyse ist ein künstliches Blutreinigungsverfahren, das sowohl mit der Nachahmung physiologischer Vorgänge als auch mit der Benutzung bestimmter physikalisch- chemischer Gesetze arbeitet. Ihre technische Umsetzung in einer Dialysemaschine sowie chirurgische und internistische Interventionen gehören zu dem Zusammenspiel unterschiedlicher Disziplinen, die eine Dialyse ermöglichen. Die Grundlagen des Dialyseverfahrens, die Maschine und die Unterschiede von Nieren- und Leberdialyse sollen im Folgenden erklärt werden. Heute besteht in der Bundesrepublik Deutschland bei ca. 55.000 Patienten ein chronisch dialysepflichtiges Nierenversagen (Stand 2005). Das Leben dieser Patienten kann mit der Dialyse um Jahrzehnte verlängert werden. Damit ist die Nierendialyse eines der erfolgreichsten medizintechnischen Verfahren. Bei der Leberdialyse sind ebenbürtige Erfolge noch nicht erzielt worden. Umso wichtiger ist es, hier neue Wege zu finden, um auch für Leberpatienten ein effizientes Dialyseverfahren zu etablieren.

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Authors and Affiliations

  1. Klinik für Herz- und Gefäßchirurgie, Deutsches Herzzentrum München, Klinik an der TU München, Lazaretstr. 36, 80636, München, Deutschland

    Christian Schreiber

  2. Hepa Wash GmbH, Boltzmannstr. 11a, 85748, Garching, Deutschland

    Ahmed N. AR. Al-Chalabi, Oana Tanase & Bernhard Kreymann

  3. II. Medizinische Klinik und Poliklinik, Klinikum rechts der Isar der TU München, Ismaninger Straße 22, 81675, München, Deutschland

    Bernhard Kreymann

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  1. Lehrstuhl für Medizintechnik, TU München, Boltzmannstr. 15, 85748, Garching, Deutschland

    Erich Wintermantel

  2. IVF Hartmann AG, Victor-von-Bruns-Str. 28, 8212, Neuhausen, Schweiz

    Suk-Woo Ha

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Schreiber, C., Al-Chalabi, A., Tanase, O., Kreymann, B. (2009). Grundlagen der Nieren- und Leberdialyse. In: Wintermantel, E., Ha, SW. (eds) Medizintechnik. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-540-93936-8_69

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