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2020, vol. 77, br. 9, str. 943-949
Ultrasonografija pluća u proceni hipervolemije kod bolesnika na hemodijalizi
aUniverzitet u Novom Sadu, Medicinski fakultet, Institut za kardiovaskularne bolesti + Univerzitet u Novom Sadu, Medicinski fakultet
bGeneral Hospital Kikinda, Kikinda
cUniverzitet u Novom Sadu, Medicinski fakultet + Klinički centar Vojvodine, Klinika za nefrologiju i kliničku imunologiju, Novi Sad
dUniverzitet u Novom Sadu, Medicinski fakultet + Institut za plućne bolesti, Sremska Kamenica

e-adresaveselinov.vladimir@gmail.com
Sažetak
Uvod/Cilj. Procena stanja volemije bolesnika na hroničnom programu hemodijalize (HD) je teška uprkos postojećim razvijenim tehnikama. Cilj ove studije je bio da pokaže adekvatnost i efikasnost ultrazvuka pluća (UZP) i B linijskog skora (BLS) u proceni stanja volemije kod bolesnika na HD u poređenju sa drugim tehnikama: određivanjem dijametra donje šuplje vene (DŠVD) ultrazvukom, ehokardiografijom (ECHO) i određivanjem nivoa B tipa natriuretskog peptida (BNP) u krvi. Metode. UZP, ehokardiografija sa ultrasonografijom donje šuplje vene u inspirijumu (DŠVDi) i ekspirijumu (DŠVDe) i uzorkovanje krvi za određivanje BNP su učinjeni pre i posle HD kod 83 bolesnika. Rezultati. Registrovano je značajno smanjenje BLS, DŠVDi i DŠVDe, nivoa BNP i nekoliko ehokardiografskih (EHO) parametara (dimenzije leve pretkomore, komore u sistoli i dijastoli i zapremina leve pretkomore) (p < 0.001). Postojala je značajna korelacija između BLS i BNP pre i posle HD (p = 0.01), između BLS i EHO parametara (p = 0.01), i slabija, ali ipak značajna korelacija između BLS i DŠVDi i DŠVDe pre HD (p = 0.01). Zaključak. Svim tehnikama je uspešno procenjena hipervolemija pre i posle HD. Vrednosti BNP su korelisale sa nalazom UZP pre i posle HD, a vrednosti DŠVDi i DŠVDe su korelisale sa UZP, uglavnom, pre HD. UZP je jeftina i jednostavna tehnika, može se izvoditi pored postelje i pouzdano koristiti za procenu stanja volemije kod bolesnika na HD.
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O članku

jezik rada: engleski
vrsta rada: izvorni naučni članak
DOI: 10.2298/VSP180622167I
objavljen u SCIndeksu: 09.10.2020.
metod recenzije: dvostruko anoniman
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