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接受慢性血液透析患者的可交换钾研究

Exchangeable potassium study in patients undergoing chronic haemodialysis.

作者信息

Seedat Y K

出版信息

Br Med J. 1969 May 10;2(5653):344-5. doi: 10.1136/bmj.2.5653.344.

Abstract

Seven patients with chronic renal failure treated with haemodialysis for 4 to 24 months were found to have low exchangeable potassium levels. Before dialysis the plasma potassium was normal or somewhat raised (possibly owing to acidosis), though the exchangeable potassium was low. Acidosis was corrected during dialysis; plasma potassium levels fell, but clinical and electrocardiographic changes of hypokalaemia were absent. The level of 1 mEq/litre in the dialysate fluid may be too low for use in prolonged haemodialysis.

摘要

7例接受血液透析治疗4至24个月的慢性肾衰竭患者被发现可交换钾水平较低。透析前血浆钾正常或有所升高(可能由于酸中毒),尽管可交换钾较低。透析期间酸中毒得到纠正;血浆钾水平下降,但未出现低钾血症的临床和心电图变化。透析液中1毫当量/升的水平可能过低,不适用于长期血液透析。

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本文引用的文献

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Exchangeable potassium in wasting, amyotrophy, heart-disease, and cirrhosis of the liver.
Lancet. 1961 Apr 1;1(7179):681-7. doi: 10.1016/s0140-6736(61)91719-6.
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Hypercalcaemia from calcium resin.来自钙树脂的高钙血症。
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Hypercalcaemia from calcium ion-exchange resin in patients on regular haemodialysis.
Lancet. 1968 Nov 2;2(7575):948-50. doi: 10.1016/s0140-6736(68)91171-9.

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