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[尿毒症患者超滤和血液透析过程中的血流动力学变化]

[Hemodynamic changes during ultrafiltration and hemodialysis in uremia].

作者信息

Wehle B, Asaba H, Castenfors J, Fürst P, Gunnarsson B, Bergström J

出版信息

Z Urol Nephrol. 1979 Jan;72(1):3-8.

PMID:425732
Abstract
  1. The ultrafiltration causes a reduction of blood pressure and minute output of the heart which is compensated by vasoconstriction and thus a decrease of blood pressure is prevented. 2. Changes in the salt concentrations with reduction of the osmolarity during the dialysis without simultaneous ultrafiltration lead to vasodilation and hypotension despite increase of the minute output of the heart. 3. During a usual haemodialysis (i.e. dialysis with simultaneous ultrafiltration) the vasodilating effect of the dialysis may abolish the vasoconstrictive effect of the ultrafiltration and thus may be the cause of the hypotension.
摘要
  1. 超滤会导致血压降低和心脏每分钟输出量减少,这会通过血管收缩得到代偿,从而防止血压下降。2. 在透析过程中,盐浓度变化且渗透压降低,同时没有超滤,尽管心脏每分钟输出量增加,但仍会导致血管舒张和低血压。3. 在常规血液透析期间(即同时进行超滤的透析),透析的血管舒张作用可能会消除超滤的血管收缩作用,因此可能是低血压的原因。

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