[Differential diagnosis of hematuria on the basis of morphology of stained erythrocytes]. / Differentsial'naia diagnostika gematurii po morfologii okrashennykh éritrotsitov.

Glomerular and nonglomerular hematuria was differentiated in 40 patients by the morphology of erythrocytes stained with floxin in buffer solution. Glomerular hematuria was correctly diagnosed in 91.0%, nonglomerular in 88.9% of patients. The results of diagnosis of hematuria by floxin staining and by phase-contrast microscopy coincided; both methods are superior to the Right staining technique. The proposed method is easily available for any laboratory and is suggested for tentative diagnosis, in order to improve the diagnostic process.

[The course and outcome of acute kidney failure in patients treated by hemodialysis]. / Techenie i iskhody ostroi pochechnoi nedostatochnosti u bol'nykh, lechennykh gemodializom.

In 1989-1995 229 patients with acute renal failure were treated by hemodialysis. A total of 1470 procedures have been performed, 8.8 +/- 1.5, on the average. 61 patients (26.6%) died. There is no significant relation between duration of oliguria, maximum BUN, creatinine level and lethality. The latter is associated with the patient's age, acute respiratory failure, sepsis, coma, hyperbilirubinemia and hypoproteinemia. Lethality was higher at failure of two and more organs and poor prognosis defined by a simplified acute physiology score (SAPS). 10 patients (5.9%) were discharged with increased creatinine level. Conventional hemodialysis is recommended as a basic technique of dialysis for patients with mono-organ failure and relatively good prognosis according to SAPS scale.

[The serological diagnosis of hemorrhagic fever with renal syndrome]. / Serologicheskaia diagnostika gemorragicheskoi likhoradki s pochechnym sindromom.

Early serological diagnosis of hemorrhagic fever with renal syndrome (HFRS) in 45 patients did not affect survival and policy of hemodialysis. However, the number of procedures, invasive in particular, to verify the diagnosis was much less. Perfection of HFRS early diagnosis promotes optimization of the disease detection.

[Hemodialysis in the treatment of acute kidney failure in hemorrhagic fever with renal syndrome]. / Gemodializ v lechenii ostroi pochechnoi nedostatochnosti pri gemorragicheskoi likhoradke s pochechnym sindromom.

The results of hemodialysis therapy given in 1988-1994 to 57 patients with acute renal failure at the age of 17-62 years in hemorrhagic fever with renal syndrome (HFRS) are provided. A total of 306 procedures were performed. Hemodialysis was initiated early, before clinical presentation of uremia. The indications for hemodialysis were: oliguria, BUN above 20 mmol/l, serum creatinine level above 0.6 mmol/l. For 11 (19.3%) patients hemodialysis was started because of hyperhydration, for 2 patients (3.5%) it was performed because of hyperkalemia. Infectious complications occurred in 7 (12.3%) patients. One (1.7%) patient died. Hemodialysis induced no complications that could negatively influence the disease. All the patients with severe HFRS need inpatient treatment in hospitals with hemodialysis facilities.