Viganò Sara M, Di Filippo Salvatore, Manzoni Celestina, Locatelli Francesco
Department of Nephrology, Dialysis and Renal Transplantation, A. Manzoni Hospital, Lecco, Italy.
Contrib Nephrol. 2008;161:7-11. doi: 10.1159/000129748.
The most appropriate dialysate composition is one of the central topics in dialysis treatment. The prescription of a certain dialysate composition could change in order to obtain not only an adequate blood purification but also a high tolerability. Sodium balance represents the cornerstone of cardiovascular stability and good blood pressure control. The goal of dialysis is to remove the amount that has accumulated in the interdialysis period. Potassium removal is adequate when hyperkaliemia is avoided. Bicarbonate in dialysate should be personalized in order to avoid acidosis and end-dialysis excessive alkalosis.
最合适的透析液成分是透析治疗的核心主题之一。为了不仅获得充分的血液净化，而且获得高耐受性，特定透析液成分的处方可能会改变。钠平衡是心血管稳定性和良好血压控制的基石。透析的目标是清除透析间期积累的量。当避免高钾血症时，钾的清除是充分的。透析液中的碳酸氢盐应个体化，以避免酸中毒和透析结束时的过度碱中毒。
