| Autor: |
Chen WT, Ing TS, Daugirdas JT, Humayun HM, Brescia DJ, Gandhi VC, Hano JE, Kheirbek AO |
| Jazyk: |
angličtina |
| Zdroj: |
Artificial organs [Artif Organs] 1980 Aug; Vol. 4 (3), pp. 187-91. |
| DOI: |
10.1111/j.1525-1594.1980.tb03932.x |
| Abstrakt: |
Twelve patients underwent hemodialysis using dialysate containing 130 mEq/L sodium, and, on a separate occasion, dialysis using a dialysate of constantly decreasing sodium concentration (from 150 to 133 mEq/L). Hydrostatic ultra-filtration during dialysis was performed at a constant rate (900 ml/hr) during both treatments, and was continued until a substantial drop in mean arterial pressure (-15%) or symptoms were observed. A double-blind comparison of the two treatment modalities was thus achieved. At the end of ultrafiltration, significantly more fluid had been removed using decreasing sodium dialysate (2.9 +/- 0.3 kg) than when using the low-sodium dialysate (1.9 +/- 0.2 kg, P<0.001). Plasma sodium concentration at the end of ultrafiltration using decreasing sodium dialysate was not significantly different from the predialysis level. Hydrostatic ultrafiltration using a dialysate of decreasing sodium level may prove to be a useful means of removing excess fluid asymptomatically from dialysis patients. |
| Databáze: |
MEDLINE |
| Externí odkaz: |
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