Masek J, Pechar J, Skála I, Sjuk O, Naddvorniková H
Vopr Pitan. 1979 May-Jun(3):12-6.
In renal insufficiency the low-protein diet should be considered of reduction and temporary type. After clinical improvement it is advisable to place the patients on diet with a higher protein content and in this way to avert any further fall in the concentration of essential amino acids in the plasma and thus keep down the progressive protein-caloric fasting. The disturbance of the protein metabolism is, however, provoked not only by the protein-caloric deprivation, but by the disease itself. In this way, the developing upsets distort the picture of the protein-calorie deficiency, which finds its expression in the appearance of the anemic syndrome, disturbed electrolytes metabolism, imbalance of the acid-base equilibrium, etc. Therefore, one should look for other ways for their compensation, not believing that this can be achieved through the dietotherapy alone.
在肾功能不全时，应考虑采用减量和短期的低蛋白饮食。临床症状改善后，建议让患者食用蛋白质含量较高的饮食，以此避免血浆中必需氨基酸浓度进一步下降，从而抑制进行性蛋白质 - 热量缺乏。然而，蛋白质代谢紊乱不仅由蛋白质 - 热量缺乏引起，还由疾病本身导致。这样一来，逐渐出现的不适会扭曲蛋白质 - 热量缺乏的表现，其表现为贫血综合征、电解质代谢紊乱、酸碱平衡失调等。因此，应该寻找其他补偿方法，而不能仅仅认为通过饮食疗法就能实现。
