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儿童血液滤过治疗期间的矿物质代谢

Mineral metabolism during a hemofiltration session in children.

作者信息

Bianchi M L, Bettinelli A, Soldati L, Saccaggi A, Ortolani S, Edefonti A

出版信息

Int J Artif Organs. 1986 Jul;9(4):257-62.

PMID:3781652
Abstract

We studied the effects of one session of hemofiltration on the mineral metabolism in a group of uremic children. We observed an increase of calcemia, accompanied by positive calcium balance, and a decrease of plasma phosphate and PTH-MM. No substantial loss of plasma 25-OH D was found. It is concluded that hemofiltration has a positive effect on calcemia and is very effective in removing phosphate, but it acts only temporarily on PTH removal. An adequate calcium concentration must be provided in the substitution fluid.

摘要

我们研究了单次血液滤过对一组尿毒症儿童矿物质代谢的影响。我们观察到血钙升高,伴有钙平衡为正,同时血浆磷酸盐和甲状旁腺激素-MM降低。未发现血浆25-羟基维生素D有显著丢失。得出的结论是,血液滤过对血钙有积极作用,在清除磷酸盐方面非常有效,但在清除甲状旁腺激素方面仅起暂时作用。置换液中必须提供足够的钙浓度。

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