Ianchulev I, Iordanov K, Drenska I, Popov T
Khirurgiia (Sofiia). 1991;44(1):80-3.
Two cases from the intensive treatment practice are presented: Case I--a 43-year-old woman drawn out from a state of clinical death during chronic dialysis for chronic renal failure with importunate ultrafiltration to combat the severe pulmonary edema, which led to hypoxia and cardiac arrest with functionally affected hemodynamic parameters (central venous pressure), because of centrally placed a/v fistula. Case II--a 46-year-old woman with severe drug disease and extremely critical hypotonic hyperhydration and anasarca, treated also with ultrafiltration, enhanced sodium influx and intensive application of diuretics; for 24 hours a negative fluid balance was achieved (71191 ml) until finally a relative fluid-electrolyte equilibrium was reached.
病例一——一名43岁女性，在慢性肾衰竭的慢性透析过程中，因顽固性超滤以对抗严重肺水肿而从临床死亡状态中被抢救出来，肺水肿导致缺氧和心脏骤停，由于中心动静脉内瘘，血流动力学参数（中心静脉压）受到功能性影响。病例二——一名46岁女性，患有严重药物疾病，伴有极度严重的低渗性水钠潴留和全身水肿，同样接受了超滤治疗，增加了钠的摄入并强化使用利尿剂；24小时内实现了负液体平衡（71191毫升），最终达到了相对的液体-电解质平衡。
