腹膜透析液合理钠浓度的探讨

杨文领 程 磊 汪 涛

中国血液净化 ›› 2007, Vol. 6 ›› Issue (11) : 593-596.

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PDF(454 KB)
中国血液净化 ›› 2007, Vol. 6 ›› Issue (11) : 593-596.
论著

腹膜透析液合理钠浓度的探讨

  • 杨文领 程 磊 汪 涛
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摘要

目的 探讨递增式腹膜透析中合理的透析液钠浓度。方法 利用溶质跨膜转运的三孔模型,推导出合理的腹膜透析钠浓度。结果 在盐(氯化钠)清除总量相同而尿量不同的情况下,腹膜透析液合理的钠浓度比较接近;但每增加2g盐的清除,透析液的钠浓度应降低约8mmol/L。结论 透析液钠的合理浓度受残余肾功能的影响不大,而主要受盐摄入量的影响;推荐患者在整个透析过程中均严格限盐,而且尽量控制每日盐的摄入量在6g或以下。

Abstract

Objective To explore the appropriate sodium concentration in dialysate for the incremental peritoneal dialysis. Method We calculated the appropriate sodium concentration in dialysate by using the three pore model for the description of transmembranous solute transport. Result Under the circumstances of a fixed salt removal and various urine volume, the appropriate sodium concentration in dialysate changed only slightly. If the patient increased salt intake by 2 grams per day, however, the sodium concentration in dialysate should be lowered by 8 mmol/L. Conclusion The appropriate sodium concentration in dialysate is influenced mainly by salt intake, but not by residual renal function. The more the salt intake, the lower is the sodium concentration in dialysate used. Patients should be encouraged to restrict salt intake to less than 6 gram per day.

关键词

腹膜透析 / 合理钠浓度

Key words

Appropriate sodium concentration

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杨文领 程 磊 汪 涛. 腹膜透析液合理钠浓度的探讨[J]. 中国血液净化. 2007, 6(11): 593-596
中图分类号: R459.5   

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