Yapay Zeka Hızlı Bakış & Çıkarımlar
AI InsightMateryal ve Metod: Preoperatif renal fonksiyonları normal (kreatinin
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Özet
Amaç: Bu çalışmayla açık kalp cerrahisi sonrası erken dönemde gelişen akut böbrek yetmezliğinde, hipertonik diüretik infüzyonu ile fraksiyone diüretik kullanımının etkinliğini karşılaştırmayı ve hemodiyafiltrasyonun etkinliğini araştırmayı planladık. Materyal ve Metod: Preoperatif renal fonksiyonları normal (kreatinin
Abstract
Bacground: We planned this study to compare the effectiveness of the hypertonic diuretic infusion and fractioned diuretic use in the acute renal failure (ARF) in the early period following open-heart surgery and to study the effects of the hemodiafiltration. Material and Methods: There were forty patients with impaired left ventricular function and normal preoperative renal function (creatinine < 1.5 mg/dl) who underwent open-heart surgery and developed ARF postoperatively. Hypertonic diuretic infusion was given to the first group whereas fractioned furosemide (500 mg/day) was applied to the second. Two patient groups were compared for weaning from oliguric/anuric ARF, hemodiafiltration and dialysis requirements. Results: Fourteen patients in the Group I (70%), and 10 patients (50%) in Group II were weaned from ARF in the 36-48th hours (mean 39±7 h.). Six patients in Group I (30%) and 10 patients (50%) in Group II required Conclusions: Hypertonic diuretic infusion use is more effective in diminishing the dialysis necessity for oliguric/anuric ARF following open-heart surgery compared to the fractioned diuretic use in the early period.