[Haemofiltration in the treatment of acute left heart failure in anuric patients (author's transl)].
Eight patients with acute left heart failure refractory to diuretics were treated by haemofiltration. Used conventionally the filtration membranes need a high pressure gradient. But the hollow-fibre kidney use in the last three patients required merely normal arterial venous pressure gradients. During an average heaemofiltration period of four hours 1000-2300 ml of plasma water were obtained. Pulmonary congestion improved in all patients; in five the arterial pressure returned to normal. Spontaneous diuresis was resumed in three. The clinical course was not influenced by haemofiltration in three instances. The advantages of haemofiltration are: reliable control of volume withdrawal, immediate effectiveness, technical simplicity, and absence of side effects.
D000368:Aged; D001002:Anuria / Q000150:complications; D001769:Blood; D001794:Blood Pressure; D005260:Female; D005374:Filtration / Q000379:methods*; D006333:Heart Failure / Q000209:etiology / Q000628:therapy*; D006801:Humans; D008297:Male; D008567:Membranes, Artificial; D008875:Middle Aged
D008567:Membranes, Artificial
Die Behandlung der akuten Linksherzinsuffizienz anurischer Patienten mit der Hämofiltration.