摘要
目的了解多巴胺持续泵入为主的综合干预措施对防治诱导期重症肾衰竭患者血液透析过程中低血压的效果及安全性。方法回顾性分析我院2010年1月~2015年12月对病情严重且透析中低血压患者透析中使用微量泵持续泵入多巴胺及联合预防性补充胶体、低温透析、钠曲线、超滤曲线、高钙透析液等措施的效果及不良反应。结果共21例病例完成167次普通血液透析,85.7%能每次安全维持透析2 h以上,严重不良事件发生率为3.6%。结论透析中泵入多巴胺等综合干预可有效、安全防治诱导期重症患者血液透析中低血压。
Objective To investigate the efficacy and safety of combined interventions included dopamine by pumping in prevention of intradialytic hypotension in critically ill patients.Methods 21 patients of critically ill patients in our hospital from January 2010 to December 2015 received totally 167 times of hemodialysis with dopamine by pumping,colloid solution infusion in advance,lower dialysate temperature, sodium profile,ultrafiltration Profile and higher calcium dialysate.Results 85.7% could complete hemodialysis safely in above 2 hours,severe adverse reactions was only 3.6%.Conclusion The combined interventions including dopamine by pumping can effectively and safely prevent intradialytic hypotension in critically ill patients.
出处
《中国当代医药》
2016年第25期65-68,共4页
China Modern Medicine
基金
广东省佛山市医学科学技术研究计划任务(2007257)
关键词
血液透析
透析中低血压
多巴胺
肾衰竭
重症患者
Hemodialysis
Intradialytic hypotension
Dopamine
Renal Failure
Critically ill Patients
