中国血液净化 ›› 2024, Vol. 23 ›› Issue (10): 784-789.doi: 10.3969/j.issn.1671-4091.2024.10.012

• 血液净化中心管理 • 上一篇    下一篇

透析用水中总氯综述

谢辉乐    王需凯   

  1. 410013 长沙,1 中南大学湘雅三医院肾内科
    264210 威海,2 威高日机装(威海)透析机器有限公司客户支持部门
  • 收稿日期:2024-04-15 修回日期:2024-04-30 出版日期:2024-10-12 发布日期:2024-10-12
  • 通讯作者: 谢辉乐 E-mail:xiehuile_bpe@163.com

A review on the total chlorine in dialysis water

XIE Hui-le, WANG Xu-kai   

  1. Department of Nephrology, The Third Xiangya Hospital of Central South University, Changsha 410013, China; 2Customer Support Division, Weigao Nikkiso (Weihai) Dialysis Equipment Co., Ltd., Weihai 264210, China
  • Received:2024-04-15 Revised:2024-04-30 Online:2024-10-12 Published:2024-10-12
  • Contact: 410013 长沙,1 中南大学湘雅三医院肾内科 E-mail:xiehuile_bpe@163.com

摘要: 氯和氯胺作为最常用的自来水消毒剂,在透析用水中却是被严格限制的。行业标准规定了其最大允许浓度。但是血液透析行业的关注点主要集中在浓度的日常监测上,对于水中总氯的来源、成分、危害以及各种清除和检测方法了解不够,各种文献一般也只涉及部分内容。本文参考国内外文献,全面系统地梳理和总结了总氯的来源、影响、检测及去除的知识,为行业从业人员学习、工作提供详实的参考和指导。

关键词: 透析用水, 游离氯, 总氯, 氯胺

Abstract: Chlorine and chloramines are the most commonly used disinfectants for tap water, which are strictly controlled in dialysis water, and the maximum allowable concentrations are specified in industry standards. However, the consideration of hemodialysis industry is mainly focused on the daily monitoring of the concentration. The source, composition, hazards, removal and detection methods of total chlorine in dialysis water are poorly understood, and are only partially involved in the literature. This paper comprehensively and systematically compiles and summarizes the knowledge of the sources, effects, detection and removal of total chlorine in dialysis water with reference to the domestic and international literature, so as to provide detailed references and guidelines for the study and work in the industry practitioners.

Key words: Dialysis water, Free chlorine, Total chlorine, Chloramine

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