抄録
Treatment in refractory heart failure is a difficult therapeutic problem. We experienced a case that was inresponsive to massive diuretics and cardiac glycosides.
Disposable dialyzer was used successfully to remove plasma water from the patient with refractory heart failure, inresponsive to massive diuretic therapy. The blood was removed from inferior vena cava via femoral vein using with Schaldon's cannula and was sent to dialyzer about 150ml per minute by sigma pump. A vaccume was applied to the space between the blood chambers of the dialyzer where the blood was ultrafiltrated and condensed. Then the blood was retuned to the patient's circulation. The ultrafiltration using this method was continued for 3 hours, and resulted in extraction of 1250ml of fluid, when there were subjective improvement, diminished pulmonary edema and decreased hepatomegaly. We concluded the availity of this method in the case of refractory heart failure which was indicated to remove excessive body fluid safely.
