OPTIMUM DIALYSATE CALCIUM CONCENTRATION DURING MAINTENANCE HEMODIALYSIS

被引：61

作者：

JOHNSON, WJ ^{[1
]}

机构：

[1] MAYO CLIN & MAYO FDN, ROCHESTER, MN 55901 USA

来源：

NEPHRON | 1976年 / 17卷 / 04期

关键词：

D O I：

10.1159/000180729

中图分类号：

R5 [内科学]; R69 [泌尿科学（泌尿生殖系疾病）];

学科分类号：

1002 ; 100201 ;

摘要：

A dialysate Ca concentration of 7 mg/100 ml is optimal for hemodialysis. Provided plasma phosphate concentrations are maintained within the normal range and provided that 3 times weekly dialysis is employed, this concentration of Ca in the dialysate restores plasma-ionized Ca level to normal, provides sufficient Ca during dialysis to offset loss of Ca in the stool, and prevents loss of Ca from bone. Several clinical trials indicate that it reduces the risk of progressive secondary hyperparathyroidism. Normalization of plasma Ca and phosphate levels reduces (but does not eliminate) the risk of metastatic calcification.

引用

页码：241 / 258

页数：18

共 43 条

[1]

BONE JM, 1972, LANCET, V1, P1047

[2]

BORDIER PJ, 1975, KIDNEY INT, V7, pS102

[3] INFLUENCE OF DIALYSATE CALCIUM CONCENTRATION AND VITAMIN-D ON SERUM PARATHYROID-HORMONE DURING REPETITIVE DIALYSIS [J].