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?? . ???????53????????????3???????????,????????????????,??????,???Gordon?????????????,?????????????????????????,??????????. ??. ????????2008?10???,???????????????????????,????????????????? ??????????????????????,???????????????????,???????????????????,????????????? . ????. ??????????? ????????:?

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    1. ???????????????????????? ??????1-2 ???

    2. ?? ???????53????????????3???????????,????????????????,??????,???Gordon?????????????,?????????????????????????,??????????

    3. ?? ????????2008?10???,???????????????????????,????????????????? ??????????????????????,???????????????????,???????????????????,?????????????

    4. ???? ??????????? ????????: ???:?????GFR?? GFR?90 ???:GFR????GFR60-89 ???:GFR???? GFR30-59 ???:GFR????GFR15-29 ???:????????GFR<15ml/min/1.73ml,??????????? ?????????????

    5. ???? ??? 53?,????,????, ????,??????????????, ?????????????, ??????20????????????, ??????????????????, ??????????????????, ?????????,????????????,????????3?? ???????98?9?20??10?20??

    6. ????

    7. ???? ????,??????????20?,???10?????????,97?10??????????????,?????????????????,????????????,?7-8??????????????,??????,?????perncath????????????????????????,????????????,? 9?20 ??????,?????????,????????????????,????????,???????,???????????????,????1.3.5??????,9?23???????????

    8. ??????

    9. Gordon???????????? (?)??????????? ??(??)???????????20??,?????????????,??????,????????,???????????,???????????????,????????????????,98?09?20????????????,???????? ??(??)???????????20??,?????????????,?????????,????????,???????????,???????????????,????????????????,????????????

    10. (?)??????? ???,156??;????48??,?????54??,BMI??19.7?????,?????????,??230C.C?1600?/?,??????,?????????????5??1400?/?,?????,????????????????,?????47.7??,10/6 Albumin:3.0g/dl Hb:9.9g/dl Hct:31.8%??????,???perncath???A-V SHUNT?,??????????,???????,98?09?26?????????????????????????,Penicillin G 300?u QD??,???21??

    11. (?)???? ???????0ml,??????2-3+++,????,??????1500-2000ml,????????3?,???????2.5-3.0?,??????????????????,????????,?????????????????1-2?????,???100-200g,????????

    12. ??????????????,???????????????????????????,??????3?,????2?,?????????????,?????????? (?)???????

    13. (?)??????? ??????????????????????????????,?????????,????????????,??????????3-5???

    14. (?)??????? ??????,???????,??????????????????,??????????????????,????????????????????,??????????????????????6?,????????????????????

    15. ???????????????????????,?????????????,???????????,?????????????????????,?????????????,???????? (?)???????????

    16. ????????,????????????,???????????,????????????????,???????????????,????????????,???????????,???????????,???????????,????????,??????? (?)???????

    17. (?)?????? ???,???17?,50???, ?????????,?????,????????????????????????????,?????????????,?????????????????

    18. (?)????????? ???????????????,????????,???????????,???????,???????????????,?????,?????????????,??????,???????????????????,???????????????,???????????????????,???????????????,???????????,???????????????????,?????????????????????,???????

    19. (??)??????? ?????????????,????????????????,????????????,??????????,???????????,?????????,?????????????

    20. ?????? (?)??????/???????? (?)??????/???????????? (?)????/????????????????????????

    21. ????? ????????????????,????????????????,?????????????,??????,?????????????????????????????,????????,?????????????????,???Gorden?????????,????????????,??????,?????????,??????????????????????,????????????,???????????????;??????????????,??????????,?????????

    22. ???? ???????(2009)????????????????,21(1),32-38? ???????(2009)?????????????????,21(1),63-67? ???????(2008)??14?????????????????????????(??,109-135),??:??? ???????(2007) ?????????????????????????????,19(1),40-44?

    23. ???? ??????(2006) ??????????:??? ???(2006) ????????????????????????????,7(2),16-24? ???(2006)????????????????,11(2),3-9? ???????(2006)???????????????????????????????,5(1),67-77? ???????(2006)??????????????????????????????????,5(1),54-65? ???(2005)??????????????????????:???????????? ,3(2),1-14?

    24. ???? ???(2005) ?????????????,17(2),126-128? ???????(2008) ????????????????????????? ???????????,7(1),25-39? ???????(2005)??????????????????,17(4),223-225? ???????(2003)???????????????????????????????????? ,2(1),40-48? Bernard G. Jaar, MD, MPH; Josef Coresh, MD, PhD; Laura C. Plantinga, ScM; Nancy E. Fink, MPH; Michael J. Klag, MD, MPH; Andrew S. Levey, MD; Nathan W. Levin, MD; John H. Sadler, MD; Alan Kliger, MD; and Neil R. Powe, MD, MPH, MBA(2005). Comparing the Risk for Death with Peritoneal Dialysis and Hemodialysis in a National Cohort of Patients with Chronic Kidney Disease. Annals of Internal Medicine,143(3), 174-183. Polascheck, N.(2003).Living on dialysis: Concerns of clients in renal setting.Joumal of Advanced Nursing,41 (1),44-52 Szromba,C.,Thies,M.A,Ossman,S.S.(2002). Advancing Chronic Kidney Disease Care: New Imperatives for Recognition and Intervention. Nephrology Nursing Journal,29,547-558.

    25. ???? Thank For Your Attention

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