胡颂文用简单的仪器在家自制了一台“血透机”。

HuSongWen use simple instrument at home make a"Hemodialysis machine".

　　昨天，南通人胡颂文自制“钢的肾”维持生命13年的故事成为了微博热议的话题。自制“钢的肾”减少透析成本，甚至还“科普”给其他患者，胡颂文奇迹般的13年透析生活除了令人匪夷所思之外，更多的还有些心酸。但江苏省中医院肾内科主任孙伟告诉记者，重复使用透析器，自制“钢的肾”容易产生操作不规范、感染等一系列问题，胡颂文的做法不可效仿。扬子晚报记者 杨甜子

yesterday,Nantong people HuSongWen homemade"Steel kidney"Maintain life 13 years of story became the micro bo hot topic of discussion.homemade"Steel kidney"Reduce dialysis cost,even"science"To other patients,HuSongWen miracle 13 years dialysis life in addition to a fantastic outside,More some feel sad.But the jiangsu province hospital of traditional Chinese medicine urology department director SunWei told reporters,Repeated use dialyzer,homemade"Steel kidney"Easy to produce the operation is not standard/A series of problems such as infection,HuSongWen practice not to follow.Yangzi evening news reporter Yang sweet fruit

　让人心酸的“奇迹” Let a person sad"miracle"

尿毒病人无奈自制透析器 单次成本仅10元奇迹存活13年 Urine poison patient but homemade dialyser single cost only 10 yuan miracle survival 13 years

　　根据《南方周末》报道，南通男子胡颂文家境贫困，一直和八十多岁的母亲相依为命。自从1993年被确诊为尿毒症开始，胡颂文就得靠着透析生活，在医院的血透治疗花光了家里的积蓄。为了省钱，胡颂文用厨具、容器和简单的仪器在家自制了一台“血透机”。

According to the[Southern weekend]reports,Nantong man HuSongWen poor family,Has been more than eighty years old, and his mother depended on each other.Since 1993 were diagnosed with uremia began,HuSongWen have to against the dialysis life,In the hospital for treatment of spent home savings.In order to save money,HuSongWen with kitchen utensils/Containers and simple instrument at home make a"Hemodialysis machine".

　　透析要用的透析液是他自己买来粉剂，和纯净水一起配置而成的，冲洗管道的盐水也是自己购买的。这样单次的成本可以降低到10元。再加上近年来大幅降低的输血器、皮管的费用，总共算下来，一次自助透析的费用不到60元，仅为在医院做血透的八分之一。一个月需做13次血透，总共算下来也不到一千元。

Dialysis with dialysis fluid is he buy powder,And pure water with a configuration,Flush pipe brine is also what you bought.This single cost can be reduced to 10 yuan.Plus in recent years to sharply reduce the blood transfusion apparatus/Hose costs,Total count down,A buffet dialysis cost less than sixty yuan,Only one 8 of the hemodialysis in hospital.A month has to be 13 times hemodialysis,Total count down is less than one thousand yuan.

　　在真正做透析时，配液、插管、冲洗等过程也曾经让胡颂文手忙脚乱，但他很快适应了下来，甚至还能够自己做血管穿刺。时间一长，胡颂文甚至还学会了自己调节脱水量。就这样他奇迹般地存活了13年，远超过尿毒症病人的平均透析生存期。

Really do when dialysis,liquor/intubation/Flushing process also once let HuSongWen helter skelter,But he quickly adapted to down,Even can make blood vessels puncture.A long time,HuSongWen even learned to oneself adjust to take off the water.So he miraculously survived 13 years,Far more than the average dialysis patients with uremia survival period.

自制“钢的肾”有什么风险？ 容易导致感染发生 homemade"Steel kidney"What is the risk? Easy to cause the infection

　　胡颂文的“自学成才”让不少人感到惊讶。“钢的肾”的冠名也不胫而走。记者翻阅网友评论发现，在同情胡颂文的遭遇之外，不少人也在怀疑，自制“钢的肾”是否能够符合透析的安全要求？

HuSongWen of"self-taught"Let many people feel surprised."Steel kidney"The named also spread far and wide.Reporters found through all comments,HuSongWen in sympathy with the outside,Many people also is in doubt,homemade"Steel kidney"Whether can accord with dialysis safety requirements?

　　扬子晚报记者采访了江苏省中医院肾内科主任孙伟。孙伟表示，胡颂文的遭遇值得同情，但自制“钢的肾”的做法却不可效仿，“肾病患者感染率发生过高和患者的免疫力状态低下有关，重复使用透析器很容易导致感染的发生。”孙伟说。像胡颂文那样使用纯净水作为透析用水的做法也不可取，“透析用水的水质、用量都有严格的要求和规定，如果使用纯净水，水中的微量元素会影响人体，导致长期并发症的发生。”

Yangzi evening news reporter interviewed the jiangsu province hospital of traditional Chinese medicine SunWei urology department director.SunWei said,HuSongWen experience is deserving of sympathy,But homemade"Steel kidney"Practice but do not follow,"Kidney disease infection occurred in patients with high and low state immunity related,Repeated use dialyzer is easy to cause infection."SunWei said.Like HuSongWen that use pure water as dialysis water practice is not desirable,"Dialysis water quality/Dosage has strict requirements and regulations,If you use pure water,The water can affect human body trace element,Lead to long-term complications."

　　折射低收入群“病不起”之痛 每周千元的血透费用让人咋舌 Refraction low-income group"Disease not"The pain of one thousand yuan a week of hemodialysis cost let a person be left speechless with wonder or fear

　　肾脏病患者需要依靠透析维持生命，但透析的“成本”却让很多人咋舌，400元一次，每周三次下来便是1200元。但孙伟告诉记者，这个价格已经很久没有调整过了。根据省物价局的规定，省级公立医院透析一次的费用是400元。这个价格从2000年开始到现在一直都没有上涨过。“如果有医保的患者，医保大约可以报销90%以上。”

Kidney dialysis patients need to rely on to maintain life,But the dialysis"cost"But let many people be left speechless with wonder or fear,400 yuan a,Three times a week down is 1200 yuan.But SunWei told reporters,The price haven't adjusted the.According to the provisions of the provincial price bureau,The provincial public hospital dialysis a charge is 400 yuan.The price from 2000 until now has been have no a rise."If there is a health care of the patients,Health care about can submit an expense account more than 90%."

医生支招：腹膜透析成本更低 The doctor move:Peritoneal dialysis cost lower

　　如果没有血透“人工肾”，肾脏病患者还能通过什么方法维持生命？作为资深肾脏病专家，孙伟建议，在常规的血透之外，可以考虑用腹膜透析作为肾脏病治疗的首选替代方法。同时价格比常规血透要低了很多。孙伟和记者算了一笔账，如果在家里进行腹膜透析，每年可以比血透省下一万多元。

If there is no hemodialysis"Artificial kidney",Patients with kidney disease can through what method to maintain life?As a senior expert kidney disease,SunWei Suggestions,Besides the regular hemodialysis,Consider using peritoneal dialysis treatment of renal diseases as the first choice of alternative methods.At the same time, lower price is higher than conventional hemodialysis a lot.SunWei and reporters calculate a bill,If the home peritoneal dialysis,Each year than hemodialysis can save ten thousand multivariate.

　　腹膜透析是一种不同于血液透析的透析方式，它利用人体自身的腹腔和包围腹腔的腹膜进行透析。记者了解到，腹膜透析治疗几乎适合所有的尿毒症患者。同时，腹膜透析对病人心血管的保护作用优于血液透析。不需使用肝素抗凝血，因此对有出血倾向的病人影响小。胡颂文自制“钢的肾”在家做血透并不可取，但腹膜透析却可以自行在家做。孙伟向记者介绍，“腹膜透析操作简便，不需大型设备，病人可在家自行透析，”

Peritoneal dialysis is a kind of different from blood dialysis dialysis mode,It USES a person's own abdominal cavity and surrounding abdominal peritoneal dialysis.The reporter understands,Peritoneal dialysis treatment for almost all of the patients with uremia.At the same time,Peritoneal dialysis patients of cardiovascular protective effect is better than that of hemodialysis.Don't need to use heparin anticoagulant,So to have little effect on patients bleeding tendency.HuSongWen homemade"Steel kidney"Home hemodialysis is not recommended,But peritoneal dialysis is able to do at home.SunWei introduces to the reporter,"Peritoneal dialysis easy operation,Don't need large equipment,The patient can at home to dialysis,"

　　孙伟说，腹膜透析前应建立透析液进出腹腔的通路。医生会通过一个小手术将一根柔软有韧性的透析管放入患者腹腔。透析管如同铅笔粗细，当患者不用它时，衣服可以盖住它，所以外面看不到。透析管如果保护得好可以终身使用。采用何种腹膜透析方式，由医护人员根据患者的病情、生活方式、完成腹膜透析操作的能力而定。两种腹膜透析都是持续性的，即每时每刻都在清除体内过多的水和废物，这一点类似正常的肾脏。这样一来，患者的饮食限制可以不像血液透析那样苛刻。

SunWei said,Peritoneal dialysis before shall establish dialysate in celiac path.The doctor will pass a small operation will be a piece of soft ductile dialysis tube into the patient.Dialysis tube as a pencil degree of finish,When patients don't have it,Clothes can cover it,So to see outside.Dialysis tube if protection well can be used for life.The type of peritoneal dialysis mode,The medical personnel according to the patient's condition/Way of life/Complete peritoneal dialysis operation ability and decide.Two kinds of peritoneal dialysis is continuing,That is every moment in the body of too much water and waste,This is similar to normal kidney.so,Patient's diet restrictions may not like blood dialysis so demanding.