中国血液净化

中国血液净化 ›› 2017, Vol. 16 ›› Issue (11): 758-760.doi: 10.3969/j.issn.1671-4091.2017.011.010

• 综述 • 上一篇    下一篇

透析液碳酸氢盐浓度对透析患者预后的影响

路香雪1,李寒1,王世相1   

  1. 1. 首都医科大学附属北京朝阳医院血液净化科；首都医科大学肾病学系
  • 收稿日期:2017-05-24 修回日期:2017-09-08 出版日期:2017-11-12 发布日期:2017-10-27
  • 通讯作者: 李寒 hanli@ccmu.edu.cn E-mail:hanli@ccmu.edu.cn
  • 基金资助:

    国家自然科学基金(81670673)；国家自然科学基金(81200543)；北京市卫生系统高层次卫生技术人才培养资助项目(2013-3-016)

Dialysate bicarbonate concentration on prognosis in dialysis patients

  • Received:2017-05-24 Revised:2017-09-08 Online:2017-11-12 Published:2017-10-27

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摘要： 代谢性酸中毒是慢性肾脏病非常常见的并发症。纠正代谢性酸中毒是防治慢性肾脏病多种系统性并发症的基础。血液透析患者酸碱平衡的维持取决于机体净酸产生量、从透析液中获取的碱总量、透析时长以及残余肾功能等多种因素。本文主要就透析液碳酸氢盐浓度对透析患者预后的影响进行综述。

关键词: 透析液碳酸氢盐浓度, 代谢性酸中毒, 慢性肾脏病, 血液透析

Abstract: Metabolic acidosis is a common complication in chronic kidney disease patients. It is funda mental for the treatment of multiple systemic complications of chronic kidney disease to correction of metabolic acidosis. For the patients undergoing hemodialysis, the acid-base balance depends on many factors, including body net acid generation, the total amount of the alkali obtained from the dialysate,duration of the interdialytic period,and residual renal function.This paper will mainly discuss the effect of dialysate bicarbonate concentration on prognosis in dialysis patients.

Key words: Dialysate bicarbonate concentration, Metabolic acidosis , Chronic kidney disease, Hemo ?dialysis