慢性病患者的水平变化,在急诊室给予平衡晶类药物后
Sungsig Kong1,2, Hyuksool Kwon1,2
1Department of Emergency Medicine, Seoul National University Bundang Hospital, Gumi-dong, Bundang-gu, Sungnam-si, Gyeonggi-do, Republic of Korea.
Medicine
|September 29, 2023
概括
像等离子体溶液A这样的平衡晶状体似乎不会在慢性脏病 (CKD) 患者中引起高血症. 在这项研究中,在给急诊室的CKD患者注射液体后,没有发现有害的增加.
科学领域:
- 腎臟病學 (nephrology) 是一種醫學專業.
- 紧急医疗 紧急医疗
- 关键的护理关键的护理
背景情况:
- 临床医生犹是否在CKD患者中使用平衡晶类药物,因为他们担心高血.
- 血溶液A是一种常见的平衡晶体,用于紧急情况下.
研究的目的:
- 在CKD患者的血溶液A注射后评估水平的变化.
- 在这个群体中评估平衡晶体的安全性.
主要方法:
- 一个学术医院的回顾性队列研究.
- 倾向性得分匹配 (1:1) 对于CKD与正常功能组.
- 在IV血溶液A注射后24小时内进行电解质后续检测.
主要成果:
- 在CKD患者中,平均水平从4.3降至4.1mmol/L (P=.029).
- 在24小时内没有观察到的显著有害增加或功能恶化.
- 在CKD患者中,在13.2小时内,平均服用量为28.7毫升/千克.
结论:
- 静脉注射等离子溶液 对于CKD患者的水平而言,A剂似乎是安全的.
- 在患有CKD的患者中,可以考虑在急诊室使用平衡晶体体.
- 进一步的研究可能会在不同的CKD人群中证实安全性.
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