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如何理解真正的净超滤以及它与接受肾脏替代治疗的危重症患者低血压的关系。

How to understand real net ultrafiltration and its association with low blood pressure in critically ill patients with renal replacement therapy.

机构信息

Department of Emergency Medicine, The First Affiliated Hospital of Nanjing Medical University, People's Hospital of Jiangsu Province, Nanjing, 210029, China.

出版信息

Crit Care. 2019 Jan 23;23(1):20. doi: 10.1186/s13054-018-2298-0.

DOI:10.1186/s13054-018-2298-0
PMID:30674339
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6343245/
Abstract

The concept of net ultrafiltration (UF) mentioned in the paper by Murugan et al. in a recent issue of Critical Care does not equate to the real UF in patients with renal replacement therapy initiation. Furthermore, the baseline blood pressure among the groups had a statistically significant difference. Both of these two factors may affect the final results. Thus, we should be cautious interpreting the conclusions.

摘要

文中提到的净超滤(UF)的概念与最近一期《危重病医学》中 Murugan 等人的论文中的患者肾替代治疗开始时的实际 UF 并不等同。此外,各组的基础血压存在统计学差异。这两个因素都可能影响最终结果。因此,我们在解释结论时应谨慎。

相似文献

1
How to understand real net ultrafiltration and its association with low blood pressure in critically ill patients with renal replacement therapy.如何理解真正的净超滤以及它与接受肾脏替代治疗的危重症患者低血压的关系。
Crit Care. 2019 Jan 23;23(1):20. doi: 10.1186/s13054-018-2298-0.
2
Net ultrafiltration intensity and mortality in critically ill patients with fluid overload.液体超负荷的危重症患者的净超滤强度与死亡率。
Crit Care. 2018 Sep 24;22(1):223. doi: 10.1186/s13054-018-2163-1.
3
Interventions to prevent hemodynamic instability during renal replacement therapy in critically ill patients: a systematic review.干预措施以预防危重症患者肾脏替代治疗期间的血流动力学不稳定:系统评价。
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本文引用的文献

1
Net ultrafiltration intensity and mortality in critically ill patients with fluid overload.液体超负荷的危重症患者的净超滤强度与死亡率。
Crit Care. 2018 Sep 24;22(1):223. doi: 10.1186/s13054-018-2163-1.
2
Early acid-base and blood pressure effects of continuous renal replacement therapy intensity in patients with metabolic acidosis.连续肾脏替代治疗强度对代谢性酸中毒患者酸碱平衡和血压的早期影响。
Intensive Care Med. 2013 Mar;39(3):429-36. doi: 10.1007/s00134-012-2800-0. Epub 2013 Jan 11.