Kaye M, Vasilevsky M, Barber E
Division of Nephrology, Montreal General Hospital, Quebec, Canada.
Clin Nephrol. 1991 Mar;35(3):130-3.
Three patients on long term hemodialysis were found to be hypophosphatemic. They were treated using a calcium-free dialysate to which phosphate was added to give a final concentration of 1 or 2 mmol/l. All corrected their low phosphates. Hypocalcemia developed in two patients when the calcium infusion rate was 15 ml/hour of 10% CaCl2. It is recommended that this should be increased to 20 ml/hour. Under these circumstances, correction of hypophosphatemia is possible with the transfer of approximately 30-35 mmol phosphate over a four-hour dialysis.
三名长期接受血液透析的患者被发现存在低磷血症。他们接受了使用无钙透析液的治疗，在透析液中添加磷酸盐以使最终浓度达到1或2 mmol/L。所有患者的低磷血症均得到纠正。当以每小时15毫升10%氯化钙的速率输注钙时，两名患者出现了低钙血症。建议将该速率提高至每小时20毫升。在这些情况下，通过四小时的透析转移约30 - 35 mmol磷酸盐，低磷血症是可以得到纠正的。
