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盐水与平衡的晶体化物用于化后的脏活检
Yu Tanaka1, Tomoko Horinouchi2, Yuta Inoki1
1Department of Pediatrics, Kobe University Graduate School of Medicine, 7-5-1 Kusunoki-Cho, Chuo-ku, Kobe, Hyogo, 650-0017, Japan.
Pediatric nephrology (Berlin, Germany)
|November 25, 2024
概括
盐水和平衡的晶体都有效地预防了小儿脏活检中的低血症. 盐水引起了微小的电解质转移,但临床意义很小,表明这两种都是安全的水合选择.
科学领域:
- 儿科脏病学 儿科脏病学
- 静脉注射液体疗法 静脉注射液体疗法
- 临床试验 临床试验
背景情况:
- 同位素液体是水合的标准,但最佳选择仍在争论中.
- 关于流体治疗的最佳同位素溶液存在缺乏共识.
研究的目的:
- 为了比较0.9%的化 (盐水) 与平衡的晶状体在预防低血症的疗效,在儿科后进行脏活检.
- 为了评估与不同的同位素液管理相关的电解质和功能变化.
主要方法:
- 一个单中心的非随机对照试验,涉及接受脏活检的儿科患者 (1-19岁).
- 患者接受了0.9%的化或平衡的晶体.
- 主要结局:低血的发生 (<137 mEq/L);次要结局:电解质平衡,血液气体,Cr-eGFR和氨酸血管压素水平.
主要成果:
- 在这两组中都没有出现低血症;血清水平相似.
- 与平衡的晶状体相比,盐水组的血清化物含量显著增加,HCO3 - - 减少.
- 在两组中都观察到pH值和基于肌素的估计膜过率 (Cr-eGFR) 的最小变化.
结论:
- 盐水和平衡的晶体都能有效地预防儿科脏活检期间的低血.
- 虽然盐水会导致较高的化物和较低的二碳酸盐水平,但这些变化在临床上意义最小.
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