title: [Combined use of hemosorption and isolated ultrafiltration of the blood in patients with refractory heart failure].
abstract: Combination of isolated blood ultrafiltration (IBUF) and hemosorption (HS) produced subcompensation of severe congestive heart failure (CHF) in 10 of 14 patients refractory of IBUF alone and to drug therapy. HS included in the therapy complex was the only way to correct secondary hyperaldosteronism, to reduce antidiuretic hormone blood level, to increase diuresis and natriuresis and to reduce kaliuresis as well as to normalize blood electrolyte level. The withdrawal of excessive water with IBUF and bilirubin and creatinine with HS as well as direct detoxication effect on the liver with HS reduced in most patients hyperbilirubinemia, hypoproteinemia and azotemia--aggravating factors in patients with CHF.
authors.forename: A Iu
authors.initials: AIu
authors.lastname: Zaruba
authors.forename: A I
authors.initials: AI
authors.lastname: Kutsenko
authors.forename: E G
authors.initials: EG
authors.lastname: Bosykh
authors.forename: V V
authors.initials: VV
authors.lastname: Kukharchuk
mesh_terms: D003131:Combined Modality Therapy; D004351:Drug Resistance; D005260:Female; D006333:Heart Failure / Q000188:drug therapy / Q000628:therapy*; D006440:Hemofiltration; D006464:Hemoperfusion; D006801:Humans; D008297:Male; D008875:Middle Aged
vernacular_title: Sochetannoe primenenie gemosorbtsii i izolirovannoĭ ul'trafil'tratsii krovi u bol'nykh s refrakternoĭ serdechnoĭ nedostatochnost'iu.