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신이식 환자에서 생리식염수와 하트만 용액이 전해질과 산염기 및 신기능에 미치는 영향

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Author(s)
김민영전나연현슬기김형태조원현박의준
Keimyung Author(s)
Kim, Hyoung TaeCho, Won HyunPark, Ui Jun
Department
Dept. of Surgery (외과학)
Journal Title
대한이식학회지
Issued Date
2015
Volume
29
Issue
4
Keyword
Kidney transplantation(신장이식)Fluid therapy(수액)Electrolytes(전해질)Acid-base(산염기)Hartman’s solution(하트만 용액)Normal saline solution(생리식염수)
Abstract
Background: The purpose of this study was to elucidate the effects of fluid on the acid–base and electrolytes status and renal function
after kidney transplantation (KT).
Methods: We retrospectively analyzed 103 patients who underwent KT. Analyses were performed separately according to the
donor type (living, 52; deceased, 51). In the living donor KT group, 28 patients received normal saline solution (NS) and 24 patients
received Hartmann’s solution (HS). In the deceased donor KT group, 27 patients received NS, and 24 received HS. The acid–base
and electrolyte status, urine volume, and renal function between patients receiving NS and patients receiving HS were compared
in each group.
Results: Regardless of donor type, there were no differences in potassium, pH, base excess, PCO2 and HCO3 between HS and
NS on immediate postoperative and postoperative day 1. However, changes to neutral acid-base balance in terms of pH, HCO3,
and base excess were significantly higher in HS than in NS. In living donor KT, NS increased serum potassium and chloride significantly
during fluid therapy. On postoperative day 7, renal function showed no difference between two groups but urine volume
was significantly larger in NS than in HS.
Conclusions: HS does not increase the incidence of hyperkalemia after KT. The use of HS resulted in less metabolic acidosis than
the use of NS. Renal function was similar but polyuria was more severe in patients who received NS than in those who received
HS.
Alternative Title
The Effects of Normal Saline Solution versus Hartmann’s Solution on the
Acid-base and Electrolytes Status and Renal Function after Kidney Transplantation
Keimyung Author(s)(Kor)
김형태
조원현
박의준
Publisher
School of Medicine
Citation
김민영 et al. (2015). 신이식 환자에서 생리식염수와 하트만 용액이 전해질과 산염기 및 신기능에 미치는 영향. 대한이식학회지, 29(4), 194–199. doi: 10.4285/jkstn.2015.29.4.194
Type
Article
ISSN
1598-1711
DOI
10.4285/jkstn.2015.29.4.194
URI
https://kumel.medlib.dsmc.or.kr/handle/2015.oak/33106
Appears in Collections:
1. School of Medicine (의과대학) > Dept. of Surgery (외과학)
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