Oguchi K, Kawada Y, Shimoyama H, Suwata J, Saito H
Department of Urology, School of Medicine, Gifu University.
Nihon Jinzo Gakkai Shi. 1990 Mar;32(3):291-5.
Hypotension is an important clinical problem for safe dialysis. In the present study, we divided dialysis patients into two groups according to their clinical features: stable (7 cases) and unstable (7 cases). The serum catecholamine levels were measured every hour during dialysis while monitoring the blood pressure and heart rate. At each time, the plasma noradrenaline levels were found to be significantly higher in the unstable group. However, these levels declined significantly at 3, 4 and 5 hours after the commencement of dialysis, and corresponded to the fall in blood pressure. In contrast, the plasma adrenaline levels revealed no significant difference between the two groups.
低血压是安全透析的一个重要临床问题。在本研究中，我们根据透析患者的临床特征将其分为两组：稳定组（7例）和不稳定组（7例）。在透析过程中每小时测量血清儿茶酚胺水平，同时监测血压和心率。每次测量时，发现不稳定组的血浆去甲肾上腺素水平显著更高。然而，这些水平在透析开始后3小时、4小时和5小时显著下降，并与血压下降相对应。相比之下，两组之间的血浆肾上腺素水平没有显著差异。
