新しい透析監視システムの研究　　血液回路内圧とクリットラインモニターを利用して

DOI 被引用文献4件 参考文献18件

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  • A new alarm system for hemodialysis. Using the blood circuit pressure and CRIT-LINE monitor.

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To investigate a new alarm system for early detection of a sudden drop of blood pressure while removing water during hemodialysis, we measured the arterial-venous pressure difference in the blood circuit (AV-pressure difference) and continuous Ht (CLM-Ht) using a non invasive optical technique (CRIT-LINE monitor) for measuring hematocrit.<br>The relation between both values and systolic blood pressure (SBP) were discussed in 12 cases. 1) Significant negative correlation was found among the rate of AV-pressure difference, rate of CLM-Ht and systolic blood pressure (SBP) in all groups. 2) We could prevent the blood pressure from suddenly dropping during hemodialysis by monitoring the rise in the rate of A-V pressure difference and CLM-Ht below+20%.<br>Therefore, it seems to be useful to monitor the AV-pressure difference and CLM-Ht in clinical practice.

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