Burton B T, Hirschman G H
J Am Diet Assoc. 1983 Apr;82(4):359-63.
The natural course of chronic renal disease with the passage of time is reviewed, parallel with rational nutritional management to counterbalance the ill effects of the progressive renal pathology. Progressive protein restriction, supplementation with essential amino acids and their keto-acid and hydroxy analogues, phosphate restriction, sodium and potassium regulation, and other measures are discussed, together with an elaboration on optimal nutritional management of adult maintenance dialysis patients and of children on dialysis.
回顾了慢性肾病随时间推移的自然病程，并探讨了合理的营养管理措施，以抵消进行性肾脏病理变化的不良影响。文中讨论了逐步限制蛋白质摄入、补充必需氨基酸及其酮酸和羟基类似物、限制磷摄入、调节钠和钾水平以及其他措施，同时详细阐述了成人维持性透析患者和透析儿童的最佳营养管理方法。
