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超滤与高钠浓度透析:病理生理相关性

Ultrafiltration and high sodium concentration dialysis: pathophysiological correlation.

作者信息

Locatelli F, Costanzo R, Di Filippo S, Pedrini L, Marai P, Pozzi C, Ponti R, Sforzini S, Redaelli B

出版信息

Proc Eur Dial Transplant Assoc. 1978;15:253-9.

PMID:740670
Abstract

Five stabilised uraemic patients underwent two different procedures using the Gambro Ultradiffuser: ultrafiltration alone for one hour (mean body weight loss 2.97 +/- 0.24 kg) and ultrafiltration with simultaneous dialysis for one hour (mean body weight loss 2.92 +/- 0.22 kg) using a given dialysate sodium concentration which reproduced the changes in osmolality which occur during ultrafiltration alone. This mean sodium concentration was 154.75 +/- 2.02 mEq/L. The results did not show significant differences for the two procedures as regards tolerance to dehydration. These results underline the key role of osmolar stability in making dehydration tolerable.

摘要

五名病情稳定的尿毒症患者使用金宝超滤器进行了两种不同的操作

单独超滤一小时(平均体重减轻2.97±0.24千克),以及在使用特定透析液钠浓度的情况下,同时进行超滤和透析一小时(平均体重减轻2.92±0.22千克),该透析液钠浓度再现了单独超滤期间发生的渗透压变化。该平均钠浓度为154.75±2.02毫当量/升。在脱水耐受性方面,两种操作的结果没有显示出显著差异。这些结果强调了渗透压稳定性在使脱水可耐受方面的关键作用。

相似文献

1
Ultrafiltration and high sodium concentration dialysis: pathophysiological correlation.超滤与高钠浓度透析:病理生理相关性
Proc Eur Dial Transplant Assoc. 1978;15:253-9.
2
Long-term haemodialysis treatment with sodium removal by convection.通过对流进行钠清除的长期血液透析治疗。
Proc Eur Dial Transplant Assoc. 1981;18:146-52.
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The role of sequential ultrafiltration and varying dialysate sodium on vascular stability during hemodialysis.序贯超滤和不同透析液钠浓度对血液透析期间血管稳定性的作用。
ASAIO J. 1993 Jul-Sep;39(3):M798-800.
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[Double profile dialysis: ultrafiltration and sodium variable description and clinical validation in the child].[双重轮廓透析:儿童超滤和钠变量描述及临床验证]
Nephrologie. 1991;12(4):179-83.
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The influence of dialysis fluid composition on the blood pressure response during dialysis.透析液成分对透析期间血压反应的影响。
Clin Nephrol. 1978 Aug;10(2):62-6.
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Response of plasma vasopressin to changes in extracellular volume and/or plasma osmolality in patients on maintenance hemodialysis.维持性血液透析患者血浆血管加压素对细胞外液量和/或血浆渗透压变化的反应。
Clin Nephrol. 1985 Jun;23(6):299-302.
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[Assessment of salt intake in hemodialysis].[血液透析中盐摄入量的评估]
Nefrologia. 2001 Jan-Feb;21(1):71-7.
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[Use of dialysate conductivity to obtain neutral sodium balance in chronic hemodialysis patients].[利用透析液电导率实现慢性血液透析患者钠平衡中性]
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[Behavior of body weight, blood volume, blood pressure values and heart rate during ultrafiltration and iso-osmotic dialysis].[超滤和等渗透析过程中体重、血容量、血压值及心率的变化]
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Effect of sodium balance and the combination of ultrafiltration profile during sodium profiling hemodialysis on the maintenance of the quality of dialysis and sodium and fluid balances.钠平衡及钠模式血液透析期间超滤模式组合对维持透析质量及钠和液体平衡的影响。
J Am Soc Nephrol. 2005 Jan;16(1):237-46. doi: 10.1681/ASN.2004070581. Epub 2004 Nov 24.

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