[血液透析加钠]。

Q4 Nursing
Revista Cubana de Enfermeria Pub Date : 1993-01-01
D Espinosa Hernández, C Magrans Buch
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引用次数: 0

摘要

在血液透析过程中,与血液动力学和渗透压变化相关的并发症常常使透析过程变得困难。为了减少这些并发症,已经开发了许多技术程序,包括在透析中使用碳酸氢盐和增加钠浓度。为了探讨后一种方法,对30例血液透析患者进行了研究,其中15例在透析前半期使用标准钠(135 mmol/L), 15例使用增加钠(150 mmol/L)。观察两组患者的透析并发症及透析后期体重增加情况。钠含量正常的血液透析患者中有20%出现低血压,钠含量升高的血液透析患者无低血压发生。血液透析钠正常组和钠增高组透析间期平均体重增加分别为1,486 hk +/- 0.946和2,526 kg +/- 1,122。结论是,只要透析期间体重增加得到控制,该程序对血流动力学不稳定的患者是有用的。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
[Hemodialysis with increased sodium].

During hemodialysis the complications associated with hemodynamic and osmolarity changes often make difficult the dialytic procedure. To make these complications diminish, a number of technical procedures have been developed, including use of bicarbonate and increased sodium concentration in the dialized. In order to explore the latter procedure, 30 hemodialysis cases were studied, 15 of them with standard sodium (135 mmol/L) and 15 with increased sodium (150 mmol/L) during the first half of the dialysis. In the 2 groups intradialytic complications were assessed and the increased weight in the later interdialytic period. Hypotension occurred in 20% of the hemodialysis cases with normal sodium and in none of those with increased sodium. The average weight increase in the interdialytic periods was 1,486 hk +/- 0.946 and 2,526 kg +/- 1,122 for hemodialysis with normal and increased sodium, respectively. It is concluded that the procedure is useful in hemodynamically unstable patients, whenever interdialytic weight gain is controlled.

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来源期刊
Revista Cubana de Enfermeria
Revista Cubana de Enfermeria Nursing-Nursing (all)
CiteScore
0.80
自引率
0.00%
发文量
0
期刊介绍: La Revista Cubana de Enfermería tiene la misión de publicar artículos sobre temas propios de la enfermería u otros relacionados en forma de artículos originales de investigación, comunicaciones cortas, y trabajos de revisión y actualización en la especialidad. Se distribuye directamente por el editor a los suscriptores en formato impreso (ISSN 1561-2961). Está dirigida a enfermeros independientemente de su categoría profesional y a todos los profesionales afines. Recibe contribuciones en idioma español, inglés y portugués sin distinción en el país de procedencia.
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