论文部分内容阅读
代谢性酸中毒是尿毒症必有的并发症,严重影响疾病预后。我们随机设两组:酸酸盐透析组(AHD),醋酸盐透析同时静滴5％碳酸氢钠组(改良AHD组)。AHD组8例,透析635次,原发病主要为慢性肾小球肾炎、高血压肾病。男6例,女2例,年龄46±12岁。透析时间10.25小时/周,血Cr980±320umol/L,CO_2—CP15～20mmol/L,尿量50～100ml/24h。改良AHD组6例,透析386次,男5例,女1例,透析时间10.3小时/周,平均年龄51±18岁。原发病:慢性肾小球肾炎、糖尿病肾病。血Cr910
Metabolic acidosis is an inevitable complication of uremia, seriously affecting the prognosis of the disease. We randomly assigned two groups: acid dialysis group (AHD), acetate dialysis while intravenous infusion of 5% sodium bicarbonate group (modified AHD group). AHD group, 8 cases, dialysis 635 times, the primary disease is mainly chronic glomerulonephritis, hypertensive nephropathy. 6 males and 2 females, aged 46 ± 12 years old. Dialysis time 10.25 hours / week, blood Cr980 ± 320umol / L, CO_2-CP15 ~ 20mmol / L, urine output 50 ~ 100ml / 24h. In the modified AHD group, 6 cases were treated with dialysis for 386 times, including 5 males and 1 females. The dialysis time was 10.3 hours / week with an average age of 51 ± 18 years. Primary disease: chronic glomerulonephritis, diabetic nephropathy. Blood Cr910