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소아의 지속성 혈액여과법

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Affiliated Author(s)
김준식이상락강진무박성배김현철
Alternative Author(s)
Kim, Joon SikLee, Sang LakKang, Chin MooPark, Sung BaeKim, Hyun Chul
Journal Title
대한신장학회지
ISSN
1225-0015
Issued Date
1992
Abstract
Continuous arteriovenous hemofiltration (CAVH) which was described by Kramer in 1977 provides an alternative method for the treatment of acute renal failure. Seven children with acute renal failure and refractory edema, were treated with continuous hemofiltration. Five of the seven patients had acute renal failure with refractory edema and the remainder had acute renal failure with multiple organ failure. The duration of treatment ranged from 12 to 126 hours, with a mean of 57±65 hours. The mean ultrafiltration rate was 7.7±4.4 ml/min and the mean weight loss during treatment was 4.7±2.8 Kg. Changes in blood chemistry before and after treatment were not significantly different except for BUN (92±16 vs 66±:I8mg/dl,p<0.05). We observed initial clinical improvement in all cases but two patients died from pneumonia and sepsis, developed Jater. There was one episode of Wood line dotting and one case of hypotension during hemofiltration.
We concluded that continuous hemofiltration in children is a safe and effective method in the treatment of acute renal failure with intractable edema and multiple organ failure.
Alternative Title
Continuous Hemofiltration in Children with Renal Failure and Refractory Edema
Department
Dept. of Pediatrics (소아청소년학)
Dept. of Internal Medicine (내과학)
Publisher
School of Medicine
Citation
김준식 et al. (1992). 소아의 지속성 혈액여과법. 대한신장학회지, 11(2), 139–145.
Type
Article
ISSN
1225-0015
URI
https://kumel.medlib.dsmc.or.kr/handle/2015.oak/37855
Appears in Collections:
1. School of Medicine (의과대학) > Dept. of Internal Medicine (내과학)
1. School of Medicine (의과대학) > Dept. of Pediatrics (소아청소년학)
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