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重症患者の継続的な動脈静脈血液透析
P E Stevens1, B Riley, S P Davies
1Department of Medicine, Charing Cross Hospital, London.
Lancet (London, England)
|July 16, 1988
まとめ
継続的な動脈静脈血液透析 (CAVHD) は,重症患者の腎不全の効果的な治療を提供します. この安全で信頼性の高い方法は,最小限の合併症で十分な尿素のクリアランスを確保します.
科学分野:
- ネフロロジーは腎臓科です.
- 集中治療医療 集中治療医療 集中治療医療
背景:
- 重症患者はしばしば腎不全を経験する.
- 既存の治療法は,高リスクの患者に限度がある可能性があります.
研究 の 目的:
- 継続性動脈静脈血液透析 (CAVHD) の有効性と安全性を評価する.
- 腎不全の重症患者に対するCAVHDの適性を評価する. 高解消率と心血管の不安定性を有する患者を含む.
主な方法:
- 継続的な動脈静脈血液透析 (CAVHD) が採用されました.
- このテクニックは,流動的および拡散的溶液除去を組み合わせたものです.
- 尿素のクリアランスを測定しました.
主要な成果:
- 尿素のクリアランスは14.8-22.1 ml/minの範囲でした.
- このクリアランスは,安定状態の尿素濃度22 mmol/lを達成した.
- このテクニックは単純で,血液ポンプや専門スタッフを必要としなかった.
結論:
- 継続的動脈静脈血液透析 (CAVHD) は,重症患者の腎不全に対する安全で信頼性の高い治療法です.
- CAVHDは,他の技術と比較してより低い関連性疾患を示しています.
- この方法は,高代謝率と心血管の不安定性を持つ患者でも効果的です.
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