title: [Hemodialysis with low sodium concentration in hypertensive uremic children].
abstract: In three hypertensive uremic children in whom hypertension was not controlled by sodium-free diet, ultrafiltration and hypotensive drugs, a total of twenty low sodium concentration hemodialyses were carried out. In all patients there was insignificant sodium excretion in urine and diastolic blood pressure diminished 10 to 20 mm Hg; two patients showed also reduction of systolic blood pressure. No important changes were seen in the serum concentrations of sodium, calcium and glucose. In one patient improvement of his retin lesions, as well as radiological reduction of heart size were observed. In other two cases, cardio-respiratory symptoms associated with hypertension disappeared. In all but two of them hypotensive drugs were withdrawn; in the other one dose was reduced. With low sodium concentration hemodialysis, sodium extraction was higher than that obtained when using the conventional dialysis solution. Interchangeable sodium decreased in all patients.
mesh_terms: D058186:Acute Kidney Injury / Q000150:complications* / Q000628:therapy; D000293:Adolescent; D002648:Child; D005260:Female; D006801:Humans; D006973:Hypertension / Q000150:complications* / Q000628:therapy; D007038:Hypotonic Solutions; D008297:Male; D006435:Renal Dialysis / Q000379:methods*; D012965:Sodium Chloride / Q000627:therapeutic use
chemical_list: D007038:Hypotonic Solutions; D012965:Sodium Chloride
vernacular_title: Hemodiálisis con baja concentración de sodio en niños urémicos hipertensos