[钾吸附滤器在慢性肾衰竭患者术中输血时的有效性]

[Effectiveness of potassium adsorption filter during intraoperative blood transfusion in patients with chronic renal failure].

作者信息

Kohno Yumiko, Nakagawa Masashi, Hirabayashi Yoshihiro, Seo Norimasa

机构信息

Department of Anesthesiology and Critical Care Medicine, Jichi Medical School, Tochigi.

出版信息

Masui. 2006 Dec;55(12):1490-2.

PMID:17190323

Abstract

Two patients with chronic renal failure on hemodialysis, received rapid transfusion of packed red blood cells (PRBCs) because of massive intraoperative bleeding. To eliminate the excessive potassium in PRBCs, a potassium adsorption filter (Kawasumi KPF-4, Kawasumi Laboratories, INC., Tokyo, Japan) was applied during surgery. The potassium adsorption filter successfully reduced the potassium concentration from 14.4-22.0 mEq x l(-1) to 1.9-3.7 mEq x l(-1). A potassium adsorption filter is a simple and useful alternative for removal of excessive potassium in PRBCs.

摘要

两名接受血液透析的慢性肾衰竭患者，因术中大量出血接受了浓缩红细胞（PRBCs）的快速输注。为消除PRBCs中过量的钾，手术期间使用了钾吸附过滤器（Kawasumi KPF - 4，Kawasumi Laboratories，INC.，东京，日本）。钾吸附过滤器成功地将钾浓度从14.4 - 22.0 mEq×l⁻¹降低至1.9 - 3.7 mEq×l⁻¹。钾吸附过滤器是去除PRBCs中过量钾的一种简单而有用的替代方法。