THE HEMODYNAMIC-EFFECTS OF INTERMITTENT HEMOFILTRATION IN CRITICALLY ILL PATIENTS

被引：12

作者：

MACKENZIE, SJ ^{[1
]}

NIMMO, GR ^{[1
]}

ARMSTRONG, IR ^{[1
]}

GRANT, IS ^{[1
]}

机构：

[1] WESTERN GEN HOSP,INTENS THERAPY UNIT,CREWE RD,EDINBURGH EH4 2XU,MIDLOTHIAN,SCOTLAND

来源：

INTENSIVE CARE MEDICINE | 1991年 / 17卷 / 06期

关键词：

ACUTE RENAL FAILURE; HEMOFILTRATION; OXYGEN TRANSPORT;

D O I：

10.1007/BF01716194

中图分类号：

R4 [临床医学];

学科分类号：

1002 ; 100602 ;

摘要：

The haemodynamic effects of intermittent high volume venovenous haemofiltration were studied in 13 critically ill patients. The mean negative fluid balance during filtration was 1.2 l and the mean duration of treatment 3 h 40 min. The cardiac index fell initially (4.5 +/- 0.2 to 3.8 +/- 0.2 l/min/m2; p < 0.05) but then remained stable throughout treatment before returning to baseline at the end of haemofiltration. The mean arterial pressure was unchanged with an increase in the systemic vascular resistance (651 +/- 33 to 765 +/- 65 dyne.s/cm5; p < 0.05) suggesting that vascular responsiveness is maintained during haemofiltration.

引用

页码：346 / 349

页数：4

共 16 条

[1] CHANGING PATTERNS AND OUTCOME OF ACUTE-RENAL-FAILURE REQUIRING HEMODIALYSIS [J].

ABREO, K ;

MOORTHY, AV ;

OSBORNE, M .

ARCHIVES OF INTERNAL MEDICINE, 1986, 146 (07) :1338-1341

[2] SYMPATHETIC AND HEMODYNAMIC-RESPONSE TO VOLUME REMOVAL DURING DIFFERENT FORMS OF RENAL REPLACEMENT THERAPY [J].

BALDAMUS, CA ;

ERNST, W ;

FREI, U ;

KOCH, KM .

NEPHRON, 1982, 31 (04) :324-332

[3]

BRAZILAY E, 1989, CRIT CARE MED, V17, P634

[4] ADVERSE-EFFECTS OF PROSTACYCLIN ADMINISTERED DIRECTLY INTO PATIENTS WITH COMBINED RENAL AND RESPIRATORY-FAILURE PRIOR TO DIALYSIS [J].

DAVENPORT, A ;

WILL, EJ ;

DAVISON, AM .

INTENSIVE CARE MEDICINE, 1990, 16 (07) :431-435

[5]

EDWARDS JD, 1986, BR J CLIN PRACT S45, V40, P56

[6] LESS DIALYSIS-INDUCED MORBIDITY AND VASCULAR INSTABILITY WITH BICARBONATE IN DIALYSATE [J].

GRAEFE, U ;

MILUTINOVICH, J ;

FOLLETTE, WC ;

VIZZO, JE ;

BABB, AL ;

SCRIBNER, BH .

ANNALS OF INTERNAL MEDICINE, 1978, 88 (03) :332-336

[7]

HAMPL H, 1980, KIDNEY INT, V18, pS83

[8]

JONES RH, 1980, CLIN NEPHROL, V14, P18

[9]

SCHETZ M, 1989, INTENS CARE MED, V15, P349

[10] PROSPECTIVE TRIAL OF SUPRANORMAL VALUES OF SURVIVORS AS THERAPEUTIC GOALS IN HIGH-RISK SURGICAL PATIENTS [J].

SHOEMAKER, WC ;

APPEL, PL ;

KRAM, HB ;

WAXMAN, K ;

LEE, TS .

CHEST, 1988, 94 (06) :1176-1186

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