Usefulness of continuous renal replacement therapy for correcting hypernatremia in a patient with severe congestive heart failure

被引:16
|
作者
Park, Hoon Suk [1 ]
Hong, Yu Ah [1 ]
Kim, Hyun Gyung [1 ]
Choi, Sun Ryoung [1 ]
Sun, In O. [1 ]
Chung, Byung Ha [1 ]
Park, Cheol Whee [1 ]
Yang, Chul Woo [1 ]
Kim, Yong Soo [1 ]
Choi, Bum Soon [1 ]
机构
[1] Catholic Univ Korea, Dept Internal Med, Div Nephrol, Sch Med, Seoul 137701, South Korea
关键词
Continuous renal replacement therapy; hypernatremia; congestive heart failure; non-renal indication; MODIFIED ULTRAFILTRATION; HEMOFILTRATION; CARE;
D O I
10.1111/j.1542-4758.2011.00650.x
中图分类号
R5 [内科学]; R69 [泌尿科学(泌尿生殖系疾病)];
学科分类号
1002 ; 100201 ;
摘要
Continuous renal replacement therapy (CRRT) is used as an alternative to intermittent hemodialysis (IHD) in patients who have acute kidney injury (AKI) and cannot tolerate IHD. Several studies have reported the usefulness of CRRT in treating sepsis, which is a non-renal indication for CRRT. Recently, CRRT was also introduced as a useful tool for treating severe congestive heart failure (CHF). By using CRRT, we successfully treated hypernatremia in a patient with severe CHF, without observing any fluid overload. Therefore, we report this case to suggest that CRRT should be considered for the treatment of hypernatremia in patients with severe CHF.
引用
收藏
页码:559 / 563
页数:5
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