Acid-base balance and substitution fluid during continuous hemofiltration

被引：28

作者：

Heering, P ^{[1
]}

Ivens, K ^{[1
]}

Thümer, O ^{[1
]}

Braüse, M ^{[1
]}

Grabensee, B ^{[1
]}

机构：

[1] Univ Dusseldorf, Dept Nephrol, D-40001 Dusseldorf, Germany

来源：

KIDNEY INTERNATIONAL | 1999年 / 56卷

关键词：

critical care; multi-organ failure; metabolic acidemia; acidosis; dialysate buffer;

D O I：

10.1046/j.1523-1755.56.s72.5.x

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：

Critically ill patients with acute renal failure usually present with an unstable acid-base balance, often leading to cardiovascular complications and multi-organ failure. Therefore, to prevent metabolic acidosis, acid-base balance must be normalized and maintained; these patients are primarily treated with continuous hemofiltration techniques using different replacement fluids to influence the acid-base values. Dialysate solutions can be an acetate-based, lactate-based, citrate-based or bicarbonate-based buffer. This article discusses the strengths and weaknesses of each type of hemofiltration replacement fluid.

引用

页码：S37 / S40

页数：4

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