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提高腹膜尿素清除率方法的研发:高透析液温度与高透析液流速联合葡萄糖及硝普钠的协同效应

Development of means to augment peritoneal urea clearances: the synergistic effects of combining high dialysate temperature and high dialysate flow rates with dextrose and nitroprusside.

作者信息

De Santo N G, Capodicasa G, Capasso G, Giordano C

出版信息

Artif Organs. 1981 Nov;5(4):409-14. doi: 10.1111/j.1525-1594.1981.tb04023.x.

DOI:10.1111/j.1525-1594.1981.tb04023.x
PMID:7325883
Abstract

By combining: a) nitroprusside (4.5 mg/L); b) dextrose concentration of 42.5 gm/L; c) dialysate temperature of 42 degrees C and d) dialysate flow rates of 3.5 L/hour in seven uremic subjects on CAPD, it was possible to increase peritoneal urea clearance up to 35.6 +/- 3.8 ml/min/1.73 m2 (range 30.3 to 42.2). This effect in six out of seven cases was associated with a fall in blood pressure and an increase in heart rate. This study is the first which deals with a combination of these factors and demonstrates that this approach is easy to handle, does not require the use of mechanical devices, and is available at any bedside.

摘要

通过在7名接受持续性非卧床腹膜透析(CAPD)的尿毒症患者中联合使用:a)硝普钠(4.5毫克/升);b)葡萄糖浓度为42.5克/升;c)透析液温度为42摄氏度;d)透析液流速为3.5升/小时,有可能将腹膜尿素清除率提高到35.6±3.8毫升/分钟/1.73平方米(范围为30.3至42.2)。7例中有6例出现这种效果的同时伴有血压下降和心率增加。本研究首次探讨了这些因素的联合应用,并证明这种方法易于操作,无需使用机械设备,且在任何床边均可实施。

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