Beards S C, Freebairn R C, Lipman J
Baragwanath Hospital Intensive Care Unit, Department of Anaesthesia, University of Witwatersrand, Johannesburg, South Africa.
Anaesthesia. 1993 Dec;48(12):1065-7. doi: 10.1111/j.1365-2044.1993.tb07528.x.
The use of continuous veno-venous haemofiltration after failure of conventional treatment in a patient with severe peripartum cardiomyopathy is described. Treatment with inotropes and diuretics failed to produce a diuresis despite the presence of severe fluid overload. Haemofiltration over a 9-day period allowed removal of 171 of fluid with a concomitant improvement in haemodynamic function and a spontaneous diuresis.
本文描述了在一名患有严重围产期心肌病的患者常规治疗失败后使用持续静脉-静脉血液滤过的情况。尽管存在严重的液体超负荷，但使用强心剂和利尿剂治疗未能产生利尿效果。为期9天的血液滤过使171升液体得以清除，同时血流动力学功能得到改善并出现自发性利尿。
