Treatment of Acute Renal Failure Following Cardiovascular Operation Using Extracorporeal Circulation. Comparison between Continuous Peritoneal Dialysis(CPD) and Continuous Arterio-Venous Hemofiltration(CAVH).
10.4326/jjcvs.22.14
- VernacularTitle:体外循環後の急性腎不全に対する血液浄化療法について 連続腹膜潅流と持続的血液ろ過法の比較検討
- Author:
Ichiya YAMAZAKI
;
Jiroh KONDOH
;
Kiyotaka IMOTO
;
Hirokazu KAJIWARA
;
Kazumi HOSHINO
;
Akira SAKAMOTO
;
Shin-ichi SUZUKI
;
Susumu ISODA
;
Masanori ISHII
;
Akihiko MATSUMOTO
- Publication Type:Journal Article
- From:Japanese Journal of Cardiovascular Surgery
1993;22(1):14-20
- CountryJapan
- Language:Japanese
-
Abstract:
There were 16 patients who developed acute renal failure (ARF) follwing cardiovascular operation using extracorporeal circulation. They were treated by either CPD or CAVH because their ARF were resistant to medical treatment. These patients were divided into three groups according to their treatment; 7 patients treated by CPD (Group A), 5 patients treated both CPD and CAVH (Group B), 4 patients treated by CAVH (Group C). The survival rate was 33% in Group A, 20% in Group B, and 0% in Group C. The prognosis of the each group was poor. CPD and CAVH were effective to control the concentration of serum potasium and water removing. But CPD and CAVH were not very effective to control the concentrations of serum creatinine and blood urea nitrogen. There were three patients who developed low proteinemia which was one of the side effects of CPD. Seven of nine patients treated by CAVH, developed bleeding. The side effects of CAVH were seemed to be more severe than those of CPD.
