Failure to achieve normal metabolic response in non-obese diabetic mice and streptozotocin-induced diabetic mice after transplantation of primary murine hepatocytes electroporated with the human proinsulin gene (p3MTChins). Transplant Proc. 2014;46:2002-2006. [PMID: 25131094 DOI: 10.1016/j.transproceed.2014.05.068]

Hemodialysis for adjuvant treatment of diabetes-associated nephrotic syndrome complicated with intractable heart failure

AIM: To explore the clinical effect of hemodialysis in the adjuvant treatment of diabetes-associated nephrotic syndrome complicated with intractable heart failure.

METHODS: Thirty-seven patients with diabetes-associated nephrotic syndrome complicated with intractable heart failure were treated by hemodialysis plus comprehensive basic treatment. The heart rate, respiratory rate, oxygen saturation, the levels of Na⁺, K⁺, Cl^-, carbon dioxide capacity (CO₂CP), total serum protein (TP), albumin (ALB), and effect on cardiac insufficiency were compared before and after treatment.

RESULTS: Compared with the values before hemodialysis, heart rate and respiratory rate were significantly lower (86.69 beats/min ± 8.81 beats/min vs 112.18 beats/min ± 9.51 beats/min, 20.88 times/min ± 3.22 times/min vs 27.59 times/min ± 3.70 times/min, P < 0.05); the level of oxygen saturation was significantly higher (97.21% ± 2.42% vs 83.81% ± 4.79%, P < 0.05); the level of K⁺ was significantly lower (4.10 mmol/L ± 0.33 mmol/L vs 5.82 mmol/L ± 1.20 mmol/L, P < 0.05); the levels of Na⁺, Cl^-, and CO₂CP were significantly higher (139.91 mmol/L ± 5.38 mmol/L vs 126.23 mmol/L ± 8.57 mmol/L, 100.56 mmol/L ± 4.33 mmol/L vs 92.20 mmol/L ± 6.02 mmol/L, 25.35 mmol/L ± 2.29 mmol/L vs 16.22 mmol/L ± 3.99 mmol/L, P < 0.05); and the levels of TP and ALB were significantly higher (64.70 g/L ± 5.12 g/L vs 54.87 g/L ± 5.90 g/L, 38.51g/L ± 3.96 g/L vs 30.27 g/L ± 4.10 g/L, P < 0.05) after hemodialysis. The rate of significant improvement was 54.05%, the rate of improvement was 45.95%, and the total effective rate was 100.00%.

CONCLUSION: Hemodialysis plus comprehensive basic treatment can improve the symptoms of respiratory failure, correct electrolyte balance, reduce the protein loss via the urine, and improve cardiac function in patients with diabetes-associated nephrotic syndrome complicated with intractable heart failure.