부산대학교 도서관

337 patients on chronic hemodialysis were managed at the Department of Urology, National Defense Medical College, from December, 1978 to June, 1987. Thirty-two of them underwent a total of 43 surgical operations. We discussed 23 urological, surgical, gynecological and orthopedic operations in 21 patients. Hemodialysis was performed the day before surgery.Preoperative laboratory data were BUN 50±24mg/dl (mean±SD), S-Cr 7.7±3.2mg/dl, S-K 3.5±0.5mEq/l, TP 6.8±1.3g/dl, Ht 27.5±7.8%, Plt 19.9±8.8×104/mm3, pH 7.42±0.04, BE 3±2mmol/l and CTR 53.8±10.3%, respectively. On PO day 1 hemodialysis was performed with regional heparinization. Postoperative complications included hemorrhage in 3, wound infection in 2, peritonitis in 2, hyperkalemia in 2 and obstruction of the A-V fistula in 1. There were no instances of pulmonary edema. Operations could be safely performed in chronic hemodialysis patients using our method.