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The significance of ANP, cGMP and ICVD on evaluating dry body weight of hemodialysis patients
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- Author:
- No author available
- Journal Title:
- CHINESE JOURNAL OF BLOOD PURIFICATION
- Issue:
- 12
- DOI:
- 10.3969/j.issn.1671-4091.2003.12.003
- Key Word:
- 血液透析;干体重;心钠素;环磷酸鸟苷;下腔静脉直径
Abstract： 目的观察血浆心钠素(ANP)、环磷酸鸟苷(cGMP)和彩色超声心动测定下腔静脉直径(ICVD)对评价血液透析患者干体重的作用.方法利用临床经验法和观察指标评价并调整40例血液透析患者的干体重,检测透析前后各观察指标的变化,并与32例正常对照组比较.结果透析后ANP、cGMP较透析前明显降低,但仍明显高于对照组;临床判断有容量过负荷的患者,降低干体重后,ANP和cGMP明显降低;用ICVD评价为超负荷的患者,其ANP和cGMP明显高于低负荷及正常负荷者.结论血浆ANP、cGMP的测定可较好反映高容量状态,IVCD对高容量及低容量状态均有良好反映.
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