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持续动静脉血液滤过期间的药物清除:理论与临床观察

Drug removal during continuous arteriovenous hemofiltration: theory and clinical observations.

作者信息

Golper T A, Wedel S K, Kaplan A A, Saad A M, Donta S T, Paganini E P

出版信息

Int J Artif Organs. 1985 Nov;8(6):307-12.

PMID:4077288
Abstract

We have discussed the basic principles of pharmacokinetics and convective solute removal in the context of each other. Clinical observations appear to follow the theoretical expectations. For practical purposes plasma and plasma water are not different. In the calculation of drug sieving, venous samples do not contribute enough to warrant their extra costs. We recommend that drug removal in hemofiltration be expressed by the sieving coefficient, UF/A. Drug sieving data in humans undergoing CAVH are tabulated. Recommendations for supplemental dosing are discussed which are applicable to any clinical setting.

摘要

我们已经在相互关联的背景下讨论了药代动力学和对流溶质清除的基本原理。临床观察结果似乎符合理论预期。出于实际目的,血浆和血浆水并无差异。在药物筛选的计算中,静脉血样本的作用不足以证明其额外成本的合理性。我们建议通过筛系数UF/A来表示血液滤过中的药物清除情况。列出了接受连续性动静脉血液滤过(CAVH)的患者的药物筛选数据。讨论了适用于任何临床情况的补充给药建议。

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1
Drug removal during continuous arteriovenous hemofiltration: theory and clinical observations.持续动静脉血液滤过期间的药物清除:理论与临床观察
Int J Artif Organs. 1985 Nov;8(6):307-12.
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Drug dosing during continuous arteriovenous hemofiltration.持续动静脉血液滤过期间的药物给药
Clin Pharm. 1988 Mar;7(3):198-206.
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[Elimination of drugs by hemofiltration. Principles and literature data].[血液滤过清除药物。原理及文献数据]
Anasth Intensivther Notfallmed. 1987 Dec;22(6):278-82.
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Solute and water transport during continuous arteriovenous hemofiltration (CAVH).持续性动静脉血液滤过(CAVH)过程中的溶质和水转运
Int J Artif Organs. 1987 May;10(3):179-84.
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Removal of cephalosporins by continuous arteriovenous ultrafiltration (CAVU) and hemofiltration (CAVH).通过持续动静脉超滤(CAVU)和血液滤过(CAVH)清除头孢菌素。
Int J Artif Organs. 1989 Jun;12(6):379-83.
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Continuous arteriovenous hemofiltration in acute renal failure.急性肾衰竭的持续动静脉血液滤过
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Clinical pharmacokinetics during continuous haemofiltration.持续血液滤过期间的临床药代动力学
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Removal of therapeutic drugs by continuous arteriovenous hemofiltration.通过连续性动静脉血液滤过清除治疗药物。
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Drug clearance in patients undergoing continuous arteriovenous hemofiltration.接受持续动静脉血液滤过治疗的患者的药物清除率
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Determinants of drug removal by continuous hemofiltration.持续血液滤过清除药物的决定因素。
Int J Artif Organs. 1994 Jul;17(7):373-8.

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