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A 73-year-old male patient was admitted to hospital with renal insufficiency for four years and shortness of breath for six days.He was diagnosed as: chronic kidney disease (CKD) 5 stage, diabetic nephropathy stage 5, renal anemia, hypertension, coronary heart disease, and left heart failure. During hospitalization, the patient Hb decreased from 91g/L to 42g/L because of upper gastrointestinal bleeding, he received treatment with gastroscopic hemostasis and blood transfusion. In the case of sufficient iron levels in the patient, despite the application of sufficient amounts of recombinant human erythropoietin, hemoglobin remained relatively low, maintained at 80-83 g/L.The patient had poor intake of meat and other proteins after gastrointestinal bleeding, not excluding the factor of a low reaction in restructuring to rHuEPO. Therefore, treatment with 100mg of roxadustat orally once weekly was initiated, and regular follow-up continued. Six months after the treatment of roxadustat, the patient’s Hb rose to 110-123 g/L. Besides the common factors like inflammation and iron deficiency, malnutrition is frequently overlooked by us. Therefore, while correcting renal anemia, we should also pay attention to the patient’s diet and albumin level.

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Treatment of a Hemodialysis Patient with Renal Anemia Complicated By Gastrointestinal Bleeding

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  • 出版模式：

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  • 发表日期：

    2025年

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  • Yinke Du,
  • Li Yao

摘要

A 73-year-old male patient was admitted to hospital with renal insufficiency for four years and shortness of breath for six days.He was diagnosed as: chronic kidney disease (CKD) 5 stage, diabetic nephropathy stage 5, renal anemia, hypertension, coronary heart disease, and left heart failure. During hospitalization, the patient Hb decreased from 91g/L to 42g/L because of upper gastrointestinal bleeding, he received treatment with gastroscopic hemostasis and blood transfusion. In the case of sufficient iron levels in the patient, despite the application of sufficient amounts of recombinant human erythropoietin, hemoglobin remained relatively low, maintained at 80-83 g/L.The patient had poor intake of meat and other proteins after gastrointestinal bleeding, not excluding the factor of a low reaction in restructuring to rHuEPO. Therefore, treatment with 100mg of roxadustat orally once weekly was initiated, and regular follow-up continued. Six months after the treatment of roxadustat, the patient’s Hb rose to 110-123 g/L. Besides the common factors like inflammation and iron deficiency, malnutrition is frequently overlooked by us. Therefore, while correcting renal anemia, we should also pay attention to the patient’s diet and albumin level.