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P. Machek, M. Kekov Fresenius Medical Care DS Most2. Sympozium esk spolenosti pro cvn pstup, 15.11.2012

Pouit nplast s aktivnm uhlm pi odmakvn msta vpichu dialyzan jehly1

Odmakvn msta vpichu po vytaen dialyzanch jehel je pro pacienty i personl faktor nepjemn prodluujc dialyzan procedurou.

Vliteratue seobjevily dobr zkuenosti s pouitm nplast saktivnm uhlkem vmikrofilamentrn form.

Page 2Pouit nplasti s aktivnm uhlm pi odmakvn msta vpichu dialyzan jehly, P. Machek, M. Kekov, 15.11.2012vod Mikrofilamentrn aktivovan uhlk je formou aktivnho uhl zskanou karbonizac hydroviskznch vlken (tj. vlken rostlinnho pvodu).

Stedn tlouka vlken se pohybuje mezi 7 a 30 m, jeho dlka je obvykle mezi 50 a 70 mm.

Od jinch forem aktivnho uhl se odliuje vysokou chemickou istotou (proto lze hovoit o istm aktivovanm uhlku) a zejmna vlknitou strukturou.

To mu dv jednak znanou ohebnost, ale vyplv z n i vt mrn plocha a tedy i sorpn kapacita, ne u jinch bnch forem aktivnho uhl s laminrnm uspodnm. Page 3Pouit nplasti s aktivnm uhlm pi odmakvn msta vpichu dialyzan jehly, P. Machek, M. Kekov, 15.11.2012Mikrofilamentrn aktivovan uhlkMikrofilamentrn aktivovan uhlk souasn pouit Aktivovan uhlk v ist mikrofilamentrn form m v modern terapii ti hlavn indikan oblasti pouit:

oeten akutnch krvcejcch ran

len obtn zhojitelnch ran a defekt

v ppad intoxikovanch ran nebo jako soust komplexnho oeten pi bodnut, kousnut i jinm typu porann jedovatmi organismy, nebo po kontaktu tla s toxiny nejrznjho pvodu.Page 4Pouit nplasti s aktivnm uhlm pi odmakvn msta vpichu dialyzan jehly, P. Machek, M. Kekov, 15.11.2012Fotodokumentace

Page 5Pouit nplasti s aktivnm uhlm pi odmakvn msta vpichu dialyzan jehly, P. Machek, M. Kekov, 15.11.2012Princip inku pi hemostze Po piloen sorpnho krytu a aplikaci mrnho tlaku dojde ke zmenen prostoru mezi vlkny uhlku a tm ke zvten kapilrnch sil psobcch na krevn plasmu.

To zpsob urychlenou absorpci krve do sorpn uhlkov vrstvy. Protoe pro malou velikost molekuly nejsnze pronik do struktury uhlkat soviny voda, dojde ve zbytkovm prostoru mezi povrchem rny a sorpn vrstvou k vznamn hemokoncentraci ve velice krtk dob. Souasn dojde pi kontaktu se smivou plochou k aktivaci faktor spoutjcch hemokoagulan kaskdu. Page 6Pouit nplasti s aktivnm uhlm pi odmakvn msta vpichu dialyzan jehly, P. Machek, M. Kekov, 15.11.2012Soubor a metoda Testovali jsme nplasti Tecasorb (Invaz, esk Republika).

Hodnocen bylo retrospektivn a soubor pacient byl ze stedisek FMC DS Most a Louny

Byla hodnocena dv obdob (bez nplasti a s nplast) vdy pi 16ti po sob jdoucch dialzch u pacient, kde v prbhu obou obdob byl pouvn stle stejn typ cvnho pstupu a nedolo ke zmn terapie i heparinizace.

Page 7Pouit nplasti s aktivnm uhlm pi odmakvn msta vpichu dialyzan jehly, P. Machek, M. Kekov, 15.11.2012Soubor a metodaKritria splnilo celkem 34 pacient 28 snativn fistul 6 sPTFE graftem

Dohromady hodnoceno v jednom obdob vdy 34 * 16 = 544 dialz

Heparinizace nativn fistule Fraxiparine 0,4 ml i.v. vvodu dialzy 0,4 ml po dvou hodinch dialzy dalch 0,4 ml i.v. u graft stejn dvka

Page 8Pouit nplasti s aktivnm uhlm pi odmakvn msta vpichu dialyzan jehly, P. Machek, M. Kekov, 15.11.2012Hemostza prmr za obdob - pacientPouit nplasti s aktivnm uhlm pi odmakvn msta vpichu dialyzan jehly, P. Machek, M. Kekov, 15.11.2012Page 9

Hemostza prmr za obdob - celkem

Page 10Pouit nplasti s aktivnm uhlm pi odmakvn msta vpichu dialyzan jehly, P. Machek, M. Kekov, 15.11.2012

Page 11Pouit nplasti s aktivnm uhlm pi odmakvn msta vpichu dialyzan jehly, P. Machek, M. Kekov, 15.11.2012Fotodokumentace

Page 12Pouit nplasti s aktivnm uhlm pi odmakvn msta vpichu dialyzan jehly, P. Machek, M. Kekov, 15.11.2012Fotodokumentace

Page 13Pouit nplasti s aktivnm uhlm pi odmakvn msta vpichu dialyzan jehly, P. Machek, M. Kekov, 15.11.2012Fotodokumentace

Page 14Pouit nplasti s aktivnm uhlm pi odmakvn msta vpichu dialyzan jehly, P. Machek, M. Kekov, 15.11.2012Fotodokumentace

Page 15Pouit nplasti s aktivnm uhlm pi odmakvn msta vpichu dialyzan jehly, P. Machek, M. Kekov, 15.11.2012Fotodokumentace

Page 16Pouit nplasti s aktivnm uhlm pi odmakvn msta vpichu dialyzan jehly, P. Machek, M. Kekov, 15.11.2012FotodokumentaceZvrPouit nplast s aktivnm mikrofilamentrnm uhlkem po odstrann dialyzanch jehel

sniuje dobu nutnou k hemostze o 30 %

v hemostze nen rozdl mezi grafty a nativnmi fistulemi

souasn vznamn zlepuje hojen konch defekt

neprokzali jsme dn nedouc inky

k poadovanmu inku je nutn sprvn aplikace

Page 17Pouit nplasti s aktivnm uhlm pi odmakvn msta vpichu dialyzan jehly, P. Machek, M. Kekov, 15.11.2012Dkuji za pozornostPage 18Pouit nplasti s aktivnm uhlm pi odmakvn msta vpichu dialyzan jehly, P. Machek, M. Kekov, 15.11.2012Graf11915.0616.681220.9311.4317.512.2514.567.9324.6822.9326.2523.4311.566.1218.681018.8114.1818.4312.520.319.2518.121023.129.518.1216.2616.871316.2511.8715.6510.8119.6811.517.512.371510.0615.9310.3718.4313.2516.067.7515.9313.5619.681212.817.518.7510.622018.4316.569.6210.62713.126.517.8112.0615.6211.37

Obdob 1Obdob 2pacientmin.Hemostza s a bez pout Tecasorb

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List200000000000000000000000000000000000000000000000000000000000000000000

Obdob 1Obdob 2pacientiminutyHemostza s a bez pout Tecasorb

List1108868DialzapacientdialzaPjmenJmnoEuCliD kd pacientaDatum dialzyHemostzaXTyp dialyzanho pstupu_des116DodvkovDanue0660801628/25/12220minfistule115DodvkovDanue0660801628/23/12220minfistule114DodvkovDanue0660801628/21/12215minfistule113DodvkovDanue0660801628/18/12215minfistule112DodvkovDanue0660801628/16/12220minfistule111DodvkovDanue0660801628/14/12210minfistule110DodvkovDanue0660801628/11/12210minfistule19DodvkovDanue0660801628/9/12220minfistule18DodvkovDanue0660801628/7/12217minfistule17DodvkovDanue0660801628/4/1227minfistule16DodvkovDanue0660801628/2/12230minfistule15DodvkovDanue0660801627/31/1227minfistule14DodvkovDanue0660801627/28/12215minfistule13DodvkovDanue0660801627/26/12210minfistule12DodvkovDanue0660801627/24/12210minfistule111DodvkovDanue0660801627/21/12215min15.0625fistule116DodvkovDanue0660801625/17/12115minfistule115DodvkovDanue0660801625/15/12120minfistule114DodvkovDanue0660801625/12/12125minfistule113DodvkovDanue0660801625/10/12125minfistule112DodvkovDanue0660801625/8/12115minfistule111DodvkovDanue0660801625/5/12125minfistule110DodvkovDanue0660801625/3/12115minfistule19DodvkovDanue0660801625/1/12114minfistule18DodvkovDanue0660801624/28/12125minfistule17DodvkovDanue0660801624/26/12120minfistule16DodvkovDanue0660801624/24/12125minfistule15DodvkovDanue0660801624/21/12115minfistule14DodvkovDanue0660801624/19/12115minfistule13DodvkovDanue0660801624/17/12115minfistule12DodvkovDanue0660801624/14/12110minfistule111DodvkovDanue0660801624/12/12125min19fistule116KleinovKrista0660802587/27/1224minfistule115KleinovKrista0660802587/25/12210minfistule114KleinovKrista0660802587/23/12215minfistule113KleinovKrista0660802587/20/12215minfistule112KleinovKrista0660802587/18/12220minfistule111KleinovKrista0660802587/16/12215minfistule110KleinovKrista0660802587/13/12220minfistule19KleinovKrista0660802587/11/12210minfistule18KleinovKrista0660802587/6/1228minfistule17KleinovKrista0660802587/4/12210minfistule16KleinovKrista0660802587/2/12210minfistule15KleinovKrista0660802586/29/12210minfistule14KleinovKrista0660802586/27/12210minfistule13KleinovKrista0660802586/25/12210minfistule12KleinovKrista0660802586/22/12215minfistule111KleinovKrista0660802586/20/12210min12fistule116KleinovKrista0660802585/16/12115minfistule115KleinovKrista0660802585/14/12115minfistule114KleinovKrista0660802585/11/12115minfistule113KleinovKrista0660802585/9/12120minfistule112KleinovKrista0660802585/7/12115minfistule111KleinovKrista0660802585/4/12115minfistule110KleinovKrista0660802585/2/12120minfistule19KleinovKrista0660802584/30/12115minfistule18KleinovKrista0660802584/27/12112minfistule17KleinovKrista0660802584/25/12110minfistule16KleinovKrista0660802584/23/12125minfistule15KleinovKrista0660802584/20/12120minfistule14KleinovKrista0660802584/16/12120minfistule13KleinovKrista0660802584/11/12125minfistule12KleinovKrista0660802584/9/12115minfistule111KleinovKrista0660802584/6/12110min16.6875fistule116KocourekJaroslav0660802468/24/12210minfistule115KocourekJaroslav0660802468/22/12215minfistule114KocourekJaroslav0660802468/20/12215minfistule113KocourekJaroslav0660802468/17/12215minfistule112KocourekJaroslav0660802468/15/12210minfistule111KocourekJaroslav0660802468/13/12215minfistule110KocourekJaroslav0660802468/10/12215minfistule19KocourekJaroslav0660802468/8/12210minfistule18KocourekJaroslav0660802468/6/12210minfistule17KocourekJaroslav0660802468/3/12215minfistule16KocourekJaroslav0660802468/1/12210minfistule15KocourekJaroslav0660802467/30/1225minfistule14KocourekJaroslav0660802467/27/12210minfistule13KocourekJaroslav0660802467/25/12210minfistule12KocourekJaroslav0660802467/23/12210minfistule111KocourekJaroslav0660802467/20/1228min11.4375fistule116KocourekJaroslav0660802465/16/12110minfistule115KocourekJaroslav0660802465/14/12120minfistule114KocourekJaroslav0660802465/11/1215minfistule113KocourekJaroslav0660802465/9/12115minfistule112KocourekJaroslav0660802465/7/12110minfistule111KocourekJaroslav0660802465/4/12120minfistule110KocourekJaroslav0660802465/2/12115minfistule19KocourekJaroslav0660802464/30/12125minfistule18KocourekJaroslav0660802464/27/12115minfistule17KocourekJaroslav0660802464/25/12110minfistule16KocourekJaroslav0660802464/23/12140minfistule15KocourekJaroslav0660802464/20/12130minfistule14KocourekJaroslav0660802464/18/12130minfistule13KocourekJaroslav0660802464/16/12140minfistule12KocourekJaroslav0660802464/13/12120minfistule111KocourekJaroslav0660802464/9/12130min20.9375fistule116KoovHelena0660802548/25/12210minfistule115KoovHelena0660802548/23/12210minfistule114KoovHelena0660802548/21/12210minfistule113KoovHelena0660802548/18/12210minfistule112KoovHelena0660802548/16/12210minfistule111KoovHelena0660802548/14/12210minfistule110KoovHelena0660802548/9/12210minfistule19KoovHelena0660802548/7/12220minfistule18KoovHelena0660802548/4/12210minfistule17KoovHelena0660802548/2/12210minfistule16KoovHelena0660802547/12/1228minfistule15KoovHelena0660802547/5/12210minfistule14KoovHelena0660802547/3/12212minfistule13KoovHelena0660802546/30/1226minfistule12KoovHelena0660802546/23/12220minfistule111KoovHelena0660802546/21/12230min12.25fistule116KoovHelena0660802545/17/12145minfistule115KoovHelena0660802545/15/12120minfistule114KoovHelena0660802545/12/12120minfistule113KoovHelena0660802545/10/12115minfistule112KoovHelena0660802545/8/12115minfistule111KoovHelena0660802545/5/12115minfistule110KoovHelena0660802545/1/12115minfistule19KoovHelena0660802544/28/12115minfistule18KoovHelena0660802544/26/12125minfistule17KoovHelena0660802544/24/12115minfistule16KoovHelena0660802544/21/12115minfistule15KoovHelena0660802544/19/12120minfistule14KoovHelena0660802544/17/12110minfistule13KoovHelena0660802544/14/12110minfistule12KoovHelena0660802544/12/12110minfistule111KoovHelena0660802544/7/12115min17.5fistule116KramperovMarie0660802268/23/1225minfistule115KramperovMarie0660802268/21/12210minfistule114KramperovMarie0660802268/18/1225minfistule113KramperovMarie0660802268/16/12215minfistule112KramperovMarie0660802268/14/1227minfistule111KramperovMarie0660802268/11/1225minfistule110KramperovMarie0660802268/9/12210minfistule19KramperovMarie0660802268/7/1225minfistule18KramperovMarie0660802268/4/1227minfistule17KramperovMarie0660802268/2/12210minfistule16KramperovMarie0660802267/31/1225minfistule15KramperovMarie0660802267/28/12210minfistule14KramperovMarie0660802267/26/1225minfistule13KramperovMarie0660802267/24/1228minfistule12KramperovMarie0660802267/21/12210minfistule111KramperovMarie0660802267/19/12210min7.9375fistule116KramperovMarie0660802265/17/12120minfistule115KramperovMarie0660802265/15/12115minfistule114KramperovMarie0660802265/12/12110minfistule113KramperovMarie0660802265/10/12115minfistule112KramperovMarie0660802265/8/12135minfistule111KramperovMarie0660802265/5/12110minfistule110KramperovMarie0660802265/3/12110minfistule19KramperovMarie0660802265/1/12115minfistule18KramperovMarie0660802264/28/12110minfistule17KramperovMarie0660802264/26/12115minfistule16KramperovMarie0660802264/24/12110minfistule15KramperovMarie0660802264/21/12110minfistule14KramperovMarie0660802264/19/1218minfistule13KramperovMarie0660802264/17/12110minfistule12KramperovMarie0660802264/14/12120minfistule111KramperovMarie0660802264/12/12120min14.5625fistule116KrausovJana0660801048/23/12220minfistule115KrausovJana0660801048/21/12215minfistule114KrausovJana0660801048/18/12212minfistule113KrausovJana0660801048/16/12220minfistule112KrausovJana0660801048/11/12215minfistule111KrausovJana0660801048/9/12220minfistule110KrausovJana0660801048/7/12210minfistule19KrausovJana0660801048/4/12230minfistule18KrausovJana0660801048/2/12230minfistule17KrausovJana0660801047/31/12230minfistule16KrausovJana0660801047/28/12230minfistule15KrausovJana0660801047/26/12240minfistule14KrausovJana0660801047/24/12240minfistule13KrausovJana0660801047/21/12215minfistule12KrausovJana0660801047/19/12220minfistule111KrausovJana0660801047/17/12220min22.9375fistule116KrausovJana0660801045/17/12130minfistule115KrausovJana0660801045/15/12120minfistule114KrausovJana0660801045/12/12120minfistule113KrausovJana0660801045/10/12120minfistule112KrausovJana0660801045/8/12125minfistule111KrausovJana0660801045/5/12120minfistule110KrausovJana0660801045/3/12120minfistule19KrausovJana0660801045/1/12130minfistule18KrausovJana0660801044/28/12135minfistule17KrausovJana0660801044/26/12140minfistule16KrausovJana0660801044/24/12130minfistule15KrausovJana0660801044/21/12115minfistule14KrausovJana0660801044/19/12120minfistule13KrausovJana0660801044/17/12125minfistule12KrausovJana0660801044/14/12130minfistule111KrausovJana0660801044/12/12115min24.6875fistule116KubtZdenk0660802278/24/12230minfistule115KubtZdenk0660802278/22/12230minfistule114KubtZdenk0660802278/20/12230minfistule113KubtZdenk0660802278/17/12225minfistule112KubtZdenk0660802278/15/12210minfistule111KubtZdenk0660802278/13/12220minfistule110KubtZdenk0660802278/10/12220minfistule19KubtZdenk0660802278/8/12225minfistule18KubtZdenk0660802278/6/12215minfistule17KubtZdenk0660802278/3/12225minfistule16KubtZdenk0660802278/1/12225minfistule15KubtZdenk0660802277/30/12240minfistule14KubtZdenk0660802277/27/12220minfistule13KubtZdenk0660802277/25/12220minfistule12KubtZdenk0660802277/23/12220minfistule111KubtZdenk0660802277/20/12220min23.4375fistule116KubtZdenk0660802275/16/12115minfistule115KubtZdenk0660802275/14/12120minfistule114KubtZdenk0660802275/11/12115minfistule113KubtZdenk0660802275/9/12130minfistule112KubtZdenk0660802275/7/12155minfistule111KubtZdenk0660802275/4/12130minfistule110KubtZdenk0660802275/2/12130minfistule19KubtZdenk0660802274/30/12120minfistule18KubtZdenk0660802274/27/12115minfistule17KubtZdenk0660802274/25/12120minfistule16KubtZdenk0660802274/23/12120minfistule15KubtZdenk0660802274/20/12120minfistule14KubtZdenk0660802274/18/12120minfistule13KubtZdenk0660802274/13/12145minfistule12KubtZdenk0660802274/9/12120minfistule111KubtZdenk0660802274/4/12145min26.25fistule116MikeJindich0660802318/24/12210minfistule115MikeJindich0660802318/22/1225minfistule114MikeJindich0660802318/20/1225minfistule113MikeJindich0660802318/17/1225minfistule112MikeJindich0660802318/15/1228minfistule111MikeJindich0660802318/13/1225minfistule110MikeJindich0660802318/10/1225minfistule19MikeJindich0660802318/8/1225minfistule18MikeJindich0660802318/6/1225minfistule17MikeJindich0660802318/3/1225minfistule16MikeJindich0660802318/1/1225minfistule15MikeJindich0660802317/30/12210minfistule14MikeJindich0660802317/27/1225minfistule13MikeJindich0660802317/25/1225minfistule12MikeJindich0660802317/23/1225minfistule111MikeJindich0660802317/20/12210min6.125fistule116MikeJindich0660802315/16/12110minfistule115MikeJindich0660802315/14/12110minfistule114MikeJindich0660802315/11/12110minfistule113MikeJindich0660802315/7/1215minfistule112MikeJindich0660802315/4/12110minfistule111MikeJindich0660802315/2/12110minfistule110MikeJindich0660802314/30/12115minfistule19MikeJindich0660802314/27/1215minfistule18MikeJindich0660802314/25/12120minfistule17MikeJindich0660802314/23/12110minfistule16MikeJindich0660802314/20/12110minfistule15MikeJindich0660802314/18/1215minfistule14MikeJindich0660802314/16/12110minfistule13MikeJindich0660802314/13/12130minfistule12MikeJindich0660802314/11/12110minfistule111MikeJindich0660802314/4/12115min11.5625fistule116NemeovZdenka0660801658/23/1225minfistule115NemeovZdenka0660801658/23/1225minfistule114NemeovZdenka0660801658/23/1225minfistule113NemeovZdenka0660801658/21/12210minfistule112NemeovZdenka0660801658/21/12210minfistule111NemeovZdenka0660801658/21/12210minfistule110NemeovZdenka0660801658/18/1225minfistule19NemeovZdenka0660801658/18/1225minfistule18NemeovZdenka0660801658/18/1225minfistule17NemeovZdenka0660801658/16/12215minfistule16NemeovZdenka0660801658/16/12215minfistule15NemeovZdenka0660801658/16/12215minfistule14NemeovZdenka0660801658/14/12215minfistule13NemeovZdenka0660801658/14/12215minfistule12NemeovZdenka0660801658/14/12215minfistule111NemeovZdenka0660801658/11/12210min10fistule116NemeovZdenka0660801655/17/12125minfistule115NemeovZdenka0660801655/17/12125minfistule114NemeovZdenka0660801655/17/12125minfistule113NemeovZdenka0660801655/15/12120minfistule112NemeovZdenka0660801655/15/12120minfistule111NemeovZdenka0660801655/15/12120minfistule110NemeovZdenka0660801655/12/12115minfistule19NemeovZdenka0660801655/12/12115minfistule18NemeovZdenka0660801655/12/12115minfistule17NemeovZdenka0660801655/10/12115minfistule16NemeovZdenka0660801655/10/12115minfistule15NemeovZdenka0660801655/10/12115minfistule14NemeovZdenka0660801655/8/12120minfistule13NemeovZdenka0660801655/8/12120minfistule12NemeovZdenka0660801655/8/12120minfistule111NemeovZdenka0660801655/5/12114min18.6875fistule116NovkovJana0660802518/23/12215minCvn 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2215minfistule16PejcharovJaroslava0660700818/2/12215minfistule15PejcharovJaroslava0660700817/31/12220minfistule14PejcharovJaroslava0660700817/28/12220minfistule13PejcharovJaroslava0660700817/26/12220minfistule12PejcharovJaroslava0660700817/24/12220minfistule111PejcharovJaroslava0660700817/21/12215min18.4375fistule116PejcharovJaroslava0660700815/17/12120minfistule115PejcharovJaroslava0660700815/15/12120minfistule114PejcharovJaroslava0660700815/12/12120minfistule113PejcharovJaroslava0660700815/10/12120minfistule112PejcharovJaroslava0660700815/8/12120minfistule111PejcharovJaroslava0660700815/5/12120minfistule110PejcharovJaroslava0660700815/3/12115minfistule19PejcharovJaroslava0660700814/28/12120minfistule18PejcharovJaroslava0660700814/26/12130minfistule17PejcharovJaroslava0660700814/24/12115minfistule16PejcharovJaroslava0660700814/21/12130minfistule15PejcharovJaroslava0660700814/19/12120minfistule14PejcharovJaroslava0660700814/17/12120minfistule13PejcharovJaroslava0660700814/14/12120minfistule12PejcharovJaroslava0660700814/12/12115minfistule111PejcharovJaroslava0660700814/10/12115min20fistule116RouarViktor0660701558/25/1227minfistule115RouarViktor0660701558/23/12210minfistule114RouarViktor0660701558/20/12210minfistule113RouarViktor0660701558/18/12210minfistule112RouarViktor0660701558/16/12210minfistule111RouarViktor0660701558/14/12215minfistule110RouarViktor0660701558/11/1227minfistule19RouarViktor0660701558/9/12210minfistule18RouarViktor0660701558/7/1228minfistule17RouarViktor0660701558/4/12210minfistule16RouarViktor0660701558/2/12210minfistule15RouarViktor0660701557/31/1227minfistule14RouarViktor0660701557/28/12210minfistule13RouarViktor0660701557/26/12210minfistule12RouarViktor0660701557/24/12210minfistule111RouarViktor0660701557/21/12210min9.625fistule116RouarViktor0660701555/17/12120minfistule115RouarViktor0660701555/15/12115minfistule114RouarViktor0660701555/10/12115minfistule113RouarViktor0660701555/8/12115minfistule112RouarViktor0660701555/5/12120minfistule111RouarViktor0660701555/3/12115minfistule110RouarViktor0660701555/1/12115minfistule19RouarViktor0660701554/28/12115minfistule18RouarViktor0660701554/26/12120minfistule17RouarViktor0660701554/24/12120minfistule16RouarViktor0660701554/21/12120minfistule15RouarViktor0660701554/19/12115minfistule14RouarViktor0660701554/17/12115minfistule13RouarViktor0660701554/14/12120minfistule12RouarViktor0660701554/12/12115minfistule111RouarViktor0660701554/10/12110min16.5625fistule116mdlovJitka0660700978/25/1227minfistule115mdlovJitka0660700978/23/1228minfistule114mdlovJitka0660700978/21/1225minfistule113mdlovJitka0660700978/18/1228minfistule112mdlovJitka0660700978/16/1225minfistule111mdlovJitka0660700978/14/12210minfistule110mdlovJitka0660700978/11/12210minfistule19mdlovJitka0660700978/9/1225minfistule18mdlovJitka0660700978/7/1228minfistule17mdlovJitka0660700978/4/1228minfistule16mdlovJitka0660700978/2/1228minfistule15mdlovJitka0660700977/31/1225minfistule14mdlovJitka0660700977/28/1225minfistule13mdlovJitka0660700977/26/1225minfistule12mdlovJitka0660700977/24/12210minfistule111mdlovJitka0660700977/21/1225min7fistule116mdlovJitka0660700975/17/12110minfistule115mdlovJitka0660700975/15/12110minfistule114mdlovJitka0660700975/12/12115minfistule113mdlovJitka0660700975/10/12110minfistule112mdlovJitka0660700975/8/1215minfistule111mdlovJitka0660700975/5/12110minfistule110mdlovJitka0660700975/3/12115minfistule19mdlovJitka0660700975/1/12110minfistule18mdlovJitka0660700974/28/12110minfistule17mdlovJitka0660700974/26/12115minfistule16mdlovJitka0660700974/24/12110minfistule15mdlovJitka0660700974/21/12110minfistule14mdlovJitka0660700974/19/12110minfistule13mdlovJitka0660700974/17/12110minfistule12mdlovJitka0660700974/14/12110minfistule111mdlovJitka0660700974/12/12110min10.625fistule116VrnaKarel0660701088/24/12210minfistule115VrnaKarel0660701088/22/1225minfistule114VrnaKarel0660701088/20/1227minfistule113VrnaKarel0660701088/17/1225minfistule112VrnaKarel0660701088/15/1228minfistule111VrnaKarel0660701088/13/1226minfistule110VrnaKarel0660701088/10/1225minfistule19VrnaKarel0660701088/8/12215minfistule18VrnaKarel0660701088/6/1225minfistule17VrnaKarel0660701088/3/1225minfistule16VrnaKarel0660701088/1/1225minfistule15VrnaKarel0660701087/30/1225minfistule14VrnaKarel0660701087/27/1228minfistule13VrnaKarel0660701087/25/1225minfistule12VrnaKarel0660701087/23/1225minfistule111VrnaKarel0660701087/20/1225min6.5fistule116VrnaKarel0660701085/16/12115minfistule115VrnaKarel0660701085/11/12115minfistule114VrnaKarel0660701085/9/12115minfistule113VrnaKarel0660701085/7/12110minfistule112VrnaKarel0660701085/4/12110minfistule111VrnaKarel0660701085/2/12115minfistule110VrnaKarel0660701084/30/12110minfistule19VrnaKarel0660701084/27/12115minfistule18VrnaKarel0660701084/25/12115minfistule17VrnaKarel0660701084/23/12115minfistule16VrnaKarel0660701084/20/12115minfistule15VrnaKarel0660701084/18/12110minfistule14VrnaKarel0660701084/16/12110minfistule13VrnaKarel0660701084/13/12115minfistule12VrnaKarel0660701084/11/12115minfistule111VrnaKarel0660701084/9/12110min13.125fistule116VyichlovBlanka0660701578/25/12215minfistule115VyichlovBlanka0660701578/23/12210minfistule114VyichlovBlanka0660701578/21/12215minfistule113VyichlovBlanka0660701578/18/12215minfistule112VyichlovBlanka0660701578/16/1228minfistule111VyichlovBlanka0660701578/14/12215minfistule110VyichlovBlanka0660701578/11/12210minfistule19VyichlovBlanka0660701578/9/12210minfistule18VyichlovBlanka0660701578/7/12210minfistule17VyichlovBlanka0660701578/4/12210minfistule16VyichlovBlanka0660701578/2/12220minfistule15VyichlovBlanka0660701577/31/12215minfistule14VyichlovBlanka0660701577/28/12210minfistule13VyichlovBlanka0660701577/26/12210minfistule12VyichlovBlanka0660701577/24/12210minfistule111VyichlovBlanka0660701577/21/12210min12.0625fistule116VyichlovBlanka0660701575/17/12120minfistule115VyichlovBlanka0660701575/15/12120minfistule114VyichlovBlanka0660701575/12/12120minfistule113VyichlovBlanka0660701575/10/12115minfistule112VyichlovBlanka0660701575/8/12115minfistule111VyichlovBlanka0660701575/5/12120minfistule110VyichlovBlanka0660701575/3/12115minfistule19VyichlovBlanka0660701575/1/12120minfistule18VyichlovBlanka0660701574/28/12120minfistule17VyichlovBlanka0660701574/26/12120minfistule16VyichlovBlanka0660701574/24/12115minfistule15VyichlovBlanka0660701574/21/12120minfistule14VyichlovBlanka0660701574/19/12115minfistule13VyichlovBlanka0660701574/17/12115minfistule12VyichlovBlanka0660701574/14/12115minfistule111VyichlovBlanka0660701574/12/12120min17.8125fistule116WinkelhferovHana0660701098/21/12220minCvn nhrada115WinkelhferovHana0660701098/18/1228minCvn nhrada114WinkelhferovHana0660701098/16/12215minCvn nhrada113WinkelhferovHana0660701098/14/12210minCvn nhrada112WinkelhferovHana0660701098/11/12210minCvn nhrada111WinkelhferovHana0660701098/9/12210minCvn nhrada110WinkelhferovHana0660701098/7/12210minCvn nhrada19WinkelhferovHana0660701097/31/12210minCvn nhrada18WinkelhferovHana0660701097/28/12215minCvn nhrada17WinkelhferovHana0660701097/26/12210minCvn nhrada16WinkelhferovHana0660701097/24/12215minCvn nhrada15WinkelhferovHana0660701097/21/12210minCvn nhrada14WinkelhferovHana0660701097/19/12210minCvn nhrada13WinkelhferovHana0660701097/17/12210minCvn nhrada12WinkelhferovHana0660701097/14/1229minCvn nhrada111WinkelhferovHana0660701097/12/12210min11.375Cvn nhrada116WinkelhferovHana0660701095/17/12115minCvn nhrada115WinkelhferovHana0660701095/15/12115minCvn nhrada114WinkelhferovHana0660701095/12/12120minCvn nhrada113WinkelhferovHana0660701095/10/12115minCvn nhrada112WinkelhferovHana0660701095/8/12110minCvn nhrada111WinkelhferovHana0660701095/5/12115minCvn nhrada110WinkelhferovHana0660701095/3/12115minCvn nhrada19WinkelhferovHana0660701095/1/12115minCvn nhrada18WinkelhferovHana0660701094/28/12115minCvn nhrada17WinkelhferovHana0660701094/26/12115minCvn nhrada16WinkelhferovHana0660701094/24/12110minCvn nhrada15WinkelhferovHana0660701094/21/12115minCvn nhrada14WinkelhferovHana0660701094/19/12115minCvn nhrada13WinkelhferovHana0660701094/17/12115minCvn nhrada12WinkelhferovHana0660701094/14/12125minCvn nhrada111WinkelhferovHana0660701094/12/12120min15.625Cvn nhrada

Databze108868DialzapacientdialzaPjmenJmnoEuCliD kd pacientaDatum dialzyHemostzaXTyp dialyzanho pstupu_des116DodvkovDanue0660801628/25/12220minfistule115DodvkovDanue0660801628/23/12220minfistule114DodvkovDanue0660801628/21/12215minfistule113DodvkovDanue0660801628/18/12215minfistule112DodvkovDanue0660801628/16/12220minfistule111DodvkovDanue0660801628/14/12210minfistule110DodvkovDanue0660801628/11/12210minfistule19DodvkovDanue0660801628/9/12220minfistule18DodvkovDanue0660801628/7/12217minfistule17DodvkovDanue0660801628/4/1227minfistule16DodvkovDanue0660801628/2/12230minfistule15DodvkovDanue0660801627/31/1227minfistule14DodvkovDanue0660801627/28/12215minfistule13DodvkovDanue0660801627/26/12210minfistule12DodvkovDanue0660801627/24/12210minfistule111DodvkovDanue0660801627/21/12215min15.0625fistule116DodvkovDanue0660801625/17/12115minfistule115DodvkovDanue0660801625/15/12120minfistule114DodvkovDanue0660801625/12/12125minfistule113DodvkovDanue0660801625/10/12125minfistule112DodvkovDanue0660801625/8/12115minfistule111DodvkovDanue0660801625/5/12125minfistule110DodvkovDanue0660801625/3/12115minfistule19DodvkovDanue0660801625/1/12114minfistule18DodvkovDanue0660801624/28/12125minfistule17DodvkovDanue0660801624/26/12120minfistule16DodvkovDanue0660801624/24/12125minfistule15DodvkovDanue0660801624/21/12115minfistule14DodvkovDanue0660801624/19/12115minfistule13DodvkovDanue0660801624/17/12115minfistule12DodvkovDanue0660801624/14/12110minfistule111DodvkovDanue0660801624/12/12125min19fistule116KleinovKrista0660802587/27/1224minfistule115KleinovKrista0660802587/25/12210minfistule114KleinovKrista0660802587/23/12215minfistule113KleinovKrista0660802587/20/12215minfistule112KleinovKrista0660802587/18/12220minfistule111KleinovKrista0660802587/16/12215minfistule110KleinovKrista0660802587/13/12220minfistule19KleinovKrista0660802587/11/12210minfistule18KleinovKrista0660802587/6/1228minfistule17KleinovKrista0660802587/4/12210minfistule16KleinovKrista0660802587/2/12210minfistule15KleinovKrista0660802586/29/12210minfistule14KleinovKrista0660802586/27/12210minfistule13KleinovKrista0660802586/25/12210minfistule12KleinovKrista0660802586/22/12215minfistule111KleinovKrista0660802586/20/12210min12fistule116KleinovKrista0660802585/16/12115minfistule115KleinovKrista0660802585/14/12115minfistule114KleinovKrista0660802585/11/12115minfistule113KleinovKrista0660802585/9/12120minfistule112KleinovKrista0660802585/7/12115minfistule111KleinovKrista0660802585/4/12115minfistule110KleinovKrista0660802585/2/12120minfistule19KleinovKrista0660802584/30/12115minfistule18KleinovKrista0660802584/27/12112minfistule17KleinovKrista0660802584/25/12110minfistule16KleinovKrista0660802584/23/12125minfistule15KleinovKrista0660802584/20/12120minfistule14KleinovKrista0660802584/16/12120minfistule13KleinovKrista0660802584/11/12125minfistule12KleinovKrista0660802584/9/12115minfistule111KleinovKrista0660802584/6/12110min16.6875fistule116KocourekJaroslav0660802468/24/12210minfistule115KocourekJaroslav0660802468/22/12215minfistule114KocourekJaroslav0660802468/20/12215minfistule113KocourekJaroslav0660802468/17/12215minfistule112KocourekJaroslav0660802468/15/12210minfistule111KocourekJaroslav0660802468/13/12215minfistule110KocourekJaroslav0660802468/10/12215minfistule19KocourekJaroslav0660802468/8/12210minfistule18KocourekJaroslav0660802468/6/12210minfistule17KocourekJaroslav0660802468/3/12215minfistule16KocourekJaroslav0660802468/1/12210minfistule15KocourekJaroslav0660802467/30/1225minfistule14KocourekJaroslav0660802467/27/12210minfistule13KocourekJaroslav0660802467/25/12210minfistule12KocourekJaroslav0660802467/23/12210minfistule111KocourekJaroslav0660802467/20/1228min11.4375fistule116KocourekJaroslav0660802465/16/12110minfistule115KocourekJaroslav0660802465/14/12120minfistule114KocourekJaroslav0660802465/11/1215minfistule113KocourekJaroslav0660802465/9/12115minfistule112KocourekJaroslav0660802465/7/12110minfistule111KocourekJaroslav0660802465/4/12120minfistule110KocourekJaroslav0660802465/2/12115minfistule19KocourekJaroslav0660802464/30/12125minfistule18KocourekJaroslav0660802464/27/12115minfistule17KocourekJaroslav0660802464/25/12110minfistule16KocourekJaroslav0660802464/23/12140minfistule15KocourekJaroslav0660802464/20/12130minfistule14KocourekJaroslav0660802464/18/12130minfistule13KocourekJaroslav0660802464/16/12140minfistule12KocourekJaroslav0660802464/13/12120minfistule111KocourekJaroslav0660802464/9/12130min20.9375fistule116KoovHelena0660802548/25/12210minfistule115KoovHelena0660802548/23/12210minfistule114KoovHelena0660802548/21/12210minfistule113KoovHelena0660802548/18/12210minfistule112KoovHelena0660802548/16/12210minfistule111KoovHelena0660802548/14/12210minfistule110KoovHelena0660802548/9/12210minfistule19KoovHelena0660802548/7/12220minfistule18KoovHelena0660802548/4/12210minfistule17KoovHelena0660802548/2/12210minfistule16KoovHelena0660802547/12/1228minfistule15KoovHelena0660802547/5/12210minfistule14KoovHelena0660802547/3/12212minfistule13KoovHelena0660802546/30/1226minfistule12KoovHelena0660802546/23/12220minfistule111KoovHelena0660802546/21/12230min12.25f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ikeJindich0660802318/13/1225minfistule110MikeJindich0660802318/10/1225minfistule19MikeJindich0660802318/8/1225minfistule18MikeJindich0660802318/6/1225minfistule17MikeJindich0660802318/3/1225minfistule16MikeJindich0660802318/1/1225minfistule15MikeJindich0660802317/30/12210minfistule14MikeJindich0660802317/27/1225minfistule13MikeJindich0660802317/25/1225minfistule12MikeJindich0660802317/23/1225minfistule111MikeJindich0660802317/20/12210min6.125fistule116MikeJindich0660802315/16/12110minfistule115MikeJindich0660802315/14/12110minfistule114MikeJindich0660802315/11/12110minfistule113MikeJindich0660802315/7/1215minfistule112MikeJindich0660802315/4/12110minfistule111MikeJindich0660802315/2/12110minfistule110MikeJindich0660802314/30/12115minfistule19MikeJindich0660802314/27/1215minfistule18MikeJindich0660802314/25/12120minfistule17MikeJindich0660802314/23/12110minfistule16MikeJindich0660802314/20/12110minfistule15MikeJindich0660802314/18/1215minfistule14MikeJindich0660802314/16/12110minfistule13MikeJindich0660802314/13/12130minfistule12MikeJindich0660802314/11/12110minfistule111MikeJindich0660802314/4/12115min11.5625fistule116NemeovZdenka0660801658/23/1225minfistule115NemeovZdenka0660801658/23/1225minfistule114NemeovZdenka0660801658/23/1225minfistule113NemeovZdenka0660801658/21/12210minfistule112NemeovZdenka0660801658/21/12210minfistule111NemeovZdenka0660801658/21/12210minfistule110NemeovZdenka0660801658/18/1225minfistule19NemeovZdenka0660801658/18/1225minfistule18NemeovZdenka0660801658/18/1225minfistule17NemeovZdenka0660801658/16/12215minfistule16NemeovZdenka0660801658/16/12215minfistule15NemeovZdenka0660801658/16/12215minfistule14NemeovZdenka0660801658/14/12215minfistule13NemeovZdenka0660801658/14/12215minfistule12NemeovZdenka0660801658/14/12215minfistule111NemeovZdenka0660801658/11/12210min10fistule116NemeovZdenka0660801655/17/12125minfistule115NemeovZdenka0660801655/17/12125minfistule114NemeovZdenka0660801655/17/12125minfistule113NemeovZdenka0660801655/15/12120minfistule112NemeovZdenka0660801655/15/12120minfistule111NemeovZdenka0660801655/15/12120minfistule110NemeovZdenka0660801655/12/12115minfistule19NemeovZdenka0660801655/12/12115minfistule18NemeovZdenka0660801655/12/12115minfistule17NemeovZdenka0660801655/10/12115minfistule16NemeovZdenka0660801655/10/12115minfistule15NemeovZdenka0660801655/10/12115minfistule14NemeovZdenka0660801655/8/12120minfistule13NemeovZdenka0660801655/8/12120minfistule12NemeovZdenka0660801655/8/12120minfistule111NemeovZdenka0660801655/5/12114min18.6875fistule116NovkovJana0660802518/23/12215minCvn 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