Dopamine and Frusemide in Oliguric Acute Renal Failure
作者:
G. Graziani,
A. Cantaluppi,
S Casati,
A. Citterio,
A. Scalamogna,
A. Aroldi,
R. Silenzio,
D. Brancaccio,
C. Ponticelli,
期刊:
Nephron
(Karger Available online 1984)
卷期:
Volume 37,
issue 1
页码: 39-42
ISSN:1660-8151
年代: 1984
DOI:10.1159/000183205
出版商: S. Karger AG
关键词: Acute renal failure;Frusemide;Dopamine;Oliguria
数据来源: Karger
摘要:
Into 24 oliguric patients with acute renal failure (ARF) for whom mannitol and high-dose frusemide had failed to promote a diuresis, dopamine (3 μg/kg/min) plus frusemide (10–15 mg/kg/h) were infused for 6–24 h. In 19 of the 24 patients this treatment produced significant increases in diuresis (from 11 ± 7 to 85 ± 51 ml/h; p < 0.001) and natriuresis (from 45 ± 13 to 88 ± 22 mEq/l; p < 0.001), without any significant modification of blood pressure, pulse rate or central venous pressure. 10 of the 24 patients required dialysis: 5 because therapy failed to promote diuresis and the other 5 because of their hypercatabolic state in spite of polyuria. 5 patients died of causes unrelated to ARF. Since all patients who responded were treated within 24 h after the onset of oliguria, it appears to be crucial to administer dopamine and frusemide early, before more severe anatomical and functional damage
点击下载:
PDF
(732KB)
返 回