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慢性血液透析的尿毒症患者血清磷酸盐浓度与血细胞比容值的关系

Serum phosphate concentration with relation to the hematocrit value in uremic patients on chronic hemodialysis.

作者信息

Gonella M, Fanara G, Buzzigoli G, Bartolini V, Mariani G

出版信息

Int J Artif Organs. 1984 Nov;7(6):341-2.

PMID:6526529
Abstract

The acute effects of hemodialysis on the serum inorganic phosphorus levels (sPi) with relation to the predialysis plasma volume (PV) and the hematocrit (Ht) values were studied in a group of chronic uremic patients on regular hemodialysis. The results obtained confirmed the close direct correlation between predialysis sPi and fall in sPi induced by hemodialysis. Furthermore, the present fall in sPi induced by hemodialysis was found to be directly correlated to the PV values, and inversely to the HT values. An equation was derived from these data to predict in the individual patients the postdialysis sPi levels, utilizing both the predialysis sPi and the Ht values; this equation showed a better predictive capability than similar expression based on the use of the predialysis sPi value alone.

摘要

对一组定期进行血液透析的慢性尿毒症患者,研究了血液透析对血清无机磷水平(sPi)的急性影响,及其与透析前血浆容量(PV)和血细胞比容(Ht)值的关系。所获结果证实了透析前sPi与血液透析引起的sPi下降之间存在密切的直接相关性。此外,发现血液透析引起的当前sPi下降与PV值直接相关,与Ht值呈负相关。根据这些数据推导出一个方程,利用透析前sPi和Ht值来预测个体患者透析后的sPi水平;该方程比仅基于透析前sPi值的类似表达式具有更好的预测能力。

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