Agarwal Rajiv
Semin Dial. 2010 Sep-Oct;23(5):462-5. doi: 10.1111/j.1525-139X.2010.00742.x.
The measurement and management of volume state among long-term dialysis patients has not received much attention. Recent reports suggest that relative plasma volume monitoring may be useful in identifying patients who have volume excess. Among patients who have evidence of excess volume by relative plasma volume monitoring, excess volume removal leads to improvement in interdialytic ambulatory blood pressure. Implementation of this technique can result in improved classification of patients into volume-sensitive and -resistant categories and therefore improve the management of hypertension.
长期透析患者容量状态的测量与管理尚未受到足够重视。近期报告表明，相对血浆容量监测可能有助于识别存在容量过多的患者。在通过相对血浆容量监测有容量过多证据的患者中，去除过多容量可使透析间期动态血压得到改善。实施这项技术可使患者更好地分为容量敏感型和容量抵抗型，从而改善高血压的管理。
