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지속적 정정맥 혈액여과투석을 이용하여 성공적으로 치료한 중증 유산산증 3예

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Author(s)
곽진호성정훈진규복황은아한승엽박성배김현철
Keimyung Author(s)
Hwang, Eun AhHan, Seung YeupPark, Sung BaeJin, Kyu BokKim, Hyun Chul
Department
Dept. of Internal Medicine (내과학)
Kidney Institute (신장연구소)
Journal Title
대한신장학회지
Issued Date
2006
Volume
25
Issue
4
Keyword
Lactic acidosisContinuous venovenous hemodiafiltration (CVVHDF)Contionuous renal replacement therapy (CRRT)
Abstract
Lactic acidosis is often associated with a strikingly high mortality. The effective therapy involves treatment of the underlying cause and correction of acidemia by infusion of sodium bicarbonate. When lactic acidosis is accompanied by oliguric renal failure, bicarbonate therapy becomes more complex with volume overload and hypernatremia. Hemodialysis against a bicarbonate-buffered dialysate will achieve this. However, it is generally tolerated poorly by he-modynamically unstable patients. We report here three hemodynamically unstable patients with severe lactic acidosis, which was treated successfully by the use of continuous venovenous hemodiafiltration with bicarbonate based dialysate and replacement solution. We would suggest that continuous renal replacement with bicarbonate buffer should be indicated in the treatment of severe lactic acidosis. (Korean J Nephrol 2006;25(4):661-667)
Key Words: Lactic acidosis, Continuous venovenous hemodiafiltration (CVVHDF), Contionuous renal replacement therapy (CRRT)
Alternative Title
Successful Treatment of Severe Lactic Acidosis by Continuous Venovenous Hemodiafiltration
Keimyung Author(s)(Kor)
황은아
한승엽
박성배
진규복
김현철
Publisher
School of Medicine
Citation
곽진호 et al. (2006). 지속적 정정맥 혈액여과투석을 이용하여 성공적으로 치료한 중증 유산산증 3예. 대한신장학회지, 25(4), 661–667.
Type
Article
ISSN
1225-0015
URI
https://kumel.medlib.dsmc.or.kr/handle/2015.oak/34599
Appears in Collections:
1. School of Medicine (의과대학) > Dept. of Internal Medicine (내과학)
3. Research Institutues (연구소) > Kidney Institute (신장연구소)
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