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[在透析液中添加呋塞米进行腹膜透析治疗的终末期肾衰竭患者的血浆蛋白水平]

[Levels of plasma proteins in patients with ene stage renal failure treated with peritoneal dialysis with an addition of furosemide to dialysis fluid].

作者信息

Grzegorzewska A, Krzymański M, Antoniewicz K

机构信息

Kliniki Nefrologii Instytutu Chorób Wewnetrznych AM im. K. Marcinkowskiego, Poznaniu.

出版信息

Pol Tyg Lek. 1994;49(6-7):137-40.

PMID:8090666
Abstract

This study aimed at evaluating an effect of repeated intraperitoneal furosemide administration on plasma proteins in patients with uremia given the drug to increase intermittent peritoneal dialysis efficiency. Patients (n = 6) dialysed for 48-60 hours per week furosemide was added to dialysis fluid in the dose of 1.2-2.0 g per 1 dialysis weekly for 3 months. A control group consisted of patients (n = 6) dialysed without furosemide. Plasma total proteins, albumin, total globulins, IgG, and IgA were determined in all patients. At the same time, plasma furosemide levels were monitored. A 3-month treatment with dialyses supplemented with furosemide decreased plasma protein levels especially IgG (p < 0.5) in comparison with dialyses without the drug. Furosemide plasma levels remained below ototoxic levels (over 50 micrograms/mL) during the treatment.

摘要

本研究旨在评估反复腹腔注射速尿对尿毒症患者血浆蛋白的影响,给予该药物以提高间歇性腹膜透析效率。患者(n = 6)每周透析48 - 60小时,在透析液中添加速尿,剂量为每1次透析1.2 - 2.0 g,持续3个月。对照组由未使用速尿进行透析的患者(n = 6)组成。测定所有患者的血浆总蛋白、白蛋白、总球蛋白、IgG和IgA。同时,监测血浆速尿水平。与未使用该药物的透析相比,补充速尿的透析治疗3个月可降低血浆蛋白水平,尤其是IgG(p < 0.5)。治疗期间速尿血浆水平保持在耳毒性水平(超过50微克/毫升)以下。

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