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作者采用碳酸氢盐、醋酸盐两种透析液患者进行慢性血液透析治疗。结果表明,醋酸盐透析(AcHD)可导致透后静脉低碳酸血症及一过性低氧血症。而用碳酸氢盐透析液的碳酸氢盐透析(BiHD)及透析滤过(HDF)确能防止发生静脉低碳酸血症、低氧血症,且能有效地纠正代谢性酸中毒。我们认为,接受AcHD治疗的患者透析中出现"醋酸盐不耐受"现象,可能部分与醋酸盐透析液影响患者动脉血气变化有关。
The authors used bicarbonate, acetate dialysate two patients for chronic hemodialysis treatment. The results show that Acetate Dialysis (AcHD) can cause post-transconversion hypocapnia and transient hypoxemia. Bicarbonate dialysis (BiHD) and dialysis filtration (HDF) with bicarbonate dialysis did prevent venous hypocapnia and hypoxemia and effectively corrected metabolic acidosis. We believe that patients with AcHD may have “acetate intolerance” during dialysis, which may be partly due to the influence of acetate dialysate on arterial blood gas changes in patients.