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碳酸氢盐和醋酸盐血液透析结果比较 被引量:1

COMPARISON OF DIALYSIS WITH BICARBONATE AND ACETATE
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摘要 目的:探讨两种不同透析液血透后结果异同点。方法:对10例终末期肾衰采用醋酸盐透析(AHD组)1723例次、9例终末期肾衰采用碳酸盐透析(BHD组)1614例次,观察结果并比较。结果:两组透析后血BUN、Scr和电解质无明显差异(P>005),血HCO-3及氧分压BHD优于AHD(P<005),“醋酸盐不耐受”现象BHD比AHD轻。结论:碳酸盐透析较醋酸盐透析更接近人体正常生理。 OBJECTIVE: To identify difference between bicarbonate and acetate for blood dialysis. METHOD: 10 patients of alte kidney failute received acetate dialysis (group AHD) for totally 1723 times and another 9 patients received bicarbonate dialysis (group BHD) for totally 1614 times. RESULTS: There was no obvious difference in BUN, Scr and electrolyte between the two groups (P>005). Group BHD showed better result in HCO-3 and PO2 than group AHD (P<005). Acetate intolerance was milder in group BHD than that in group AHD. CONCLUSION: Bicarbonate dialysis is closer to normal human physiological status than acetate dialysis.
作者 薛军
出处 《九江医学》 1998年第1期29-31,共3页 Jiujiang Medical Journal
关键词 碳酸氢盐 醋酸盐 血液透析 肾功能衰竭 治疗 bicarbonate dialysis/method acetate dialysis/method kidney failure, late treatment
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