학술논문

Hemodynamic change during hemodialysis especially on cardiac effectiveness / 血液透析経過中の循環動態変化
Document Type
Journal Article
Source
人工透析研究会会誌 / Journal of Japanese Society for Dialysis Therapy. 1981, 14(1):7
Subject
C. O. function curve
V. R. curve
cardiac effectiveness
hemodialysis
rapid infusion
Language
Japanese
ISSN
0288-7045
1884-6203
Abstract
Hemodialysis-induced hypotension as well as other untoward symptoms are often encountered during hemodialysis. Hence, it is undoubtedly important to elucidate intradialytic hemodynamic changes in order to perform regular hemodialysis with safety.In this study we especially investigated the possible intradialytic changes of cardiac effectiveness in 10 patients. Eight of them were dialysed without any evidence of hypotension, however, the other two developed hypotension definitely.C. O., RA, PA, PAEDP and arithmetic BP measured by using a Swan-Ganz thermodilution catheter and an automatic sphygmomanometer were used as our parameters. All treatments were performed for 5 hours, and the parameters written above were basically studied every hour until the end of the treatment.In case No. 1 to No. 4 C. I. during hemodialysis increased more than the predialytic, but in case No. 5 to No. 8 it gradually declined. Consequently, C. O. changes during hemodialysis were classified into two different types such as type A C. O. pattern (Y=aX2+bX+c, ao) and type B C. O. pattern (Y=aX+b, a