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[终末期肾衰竭且依赖透析患者的心脏手术。术中血液滤过预防水合过多]

[Heart surgery in terminal kidney failure and dialysis dependent patients. Intraoperative hemofiltration for the prevention of hyperhydration].

作者信息

Schmidt R, Weidemann H, Weihermüller K, Bücherl E S

机构信息

Chirurgischen Klinik und Poliklinik, Freien Universität Berlin.

出版信息

Zentralbl Chir. 1989;114(5):306-12.

PMID:2786299
Abstract

12 hemodialysis-dependent patients underwent heart surgery involving cardiopulmonary bypass. Their example outlines the special pre-, intra- and postoperative management in these patients. Intraoperative hemofiltration seems appropriate to prevent fluid overload caused by cardiopulmonary bypass. 3 patients died within the first two weeks after operation. 9 patients are well after 4 to 30 months. The results are compared to the reports found in the literature.

摘要

12例依赖血液透析的患者接受了涉及体外循环的心脏手术。他们的案例概述了这些患者特殊的术前、术中和术后管理。术中血液滤过似乎适合预防体外循环引起的液体超负荷。3例患者在术后两周内死亡。9例患者在4至30个月后情况良好。将结果与文献中的报道进行了比较。

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