中国血液净化 ›› 2022, Vol. 21 ›› Issue (03): 149-152.doi: 10.3969/j.issn.1671-4091.2022.03.002

• 专题与讲座 • 上一篇    下一篇

血液透析患者高钾血症的影响因素及危害

严森辉1,蒋红利1   

  1. 1西安交通大学附属医院肾内科
  • 收稿日期:2021-09-18 修回日期:2022-01-03 出版日期:2022-03-12 发布日期:2022-03-16
  • 通讯作者: 蒋红利 j92106@sina.com E-mail:j92106@sina.com
  • 基金资助:
    陕西省重点研发计划项目(2021SF-080)

A review of factorial and risk analysis for hyperkalemia in hemodialysis patients

  1. 1Department of Nephrology, Affiliated Hospital of Xi'an Jiaotong University, Xi’an 710061, China
  • Received:2021-09-18 Revised:2022-01-03 Online:2022-03-12 Published:2022-03-16
  • Contact: Jiang Hong-li E-mail:j92106@sina.com

摘要: 【摘要】终末期肾病(end stage renal disease,ESRD)维持性血液透析患者具有较高的高血钾发生率,且随着肾功能恶化,高钾血症的复发风险逐渐升高。包括透析不当、同时使用升高血钾的药物以及合并某些疾病等许多因素均增加透析患者发生高钾血症风险。透析患者发生高钾血症与其不良预后密切相关,不仅增加患者死亡风险,而且增加急诊就诊和住院次数以及医疗成本。因此,对于ESRD 血液透析反复发生高血钾患者应重视对血钾水平的综合管理,包括对高钾饮食的限制、充分的透析治疗、避免应用升高血钾的药物以及合理使用降钾药物等。

关键词: 血液透析, 终末期肾病, 高钾血症, 临床风险

Abstract: 【Abstract】Patients with end-stage renal disease (ESRD) on maintenance hemodialysis have a high incidence of hyperkalemia, and with the deterioration of renal function, the risk of recurrence of hyperkalemia gradually increases. Many factors, including inappropriate dialysis, concomitant use of drugs that raise serum potassium, and certain medical conditions, increase the risk of hyperkalemia in dialysis patients. Hyperkalemia in dialysis patients is closely related to its poor prognosis, not only increasing the risk of death, but also increasing the number of emergency department visits and hospitalizations, and medical costs. Therefore, for HD patients with recurrent hyperkalemia, attention should be paid to the comprehensive management of serum potassium levels, including restriction of high potassium diet, adequate dialysis treatment, avoidance of drugs that increase serum potassium, and rational use of potassium-lowering drugs.

Key words: Hemodialysis, End strage renal disease, Hyperkalemia, Clinical risks

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