Newer peritoneal dialysis solutions

被引:17
作者
Gokal, R [1 ]
机构
[1] Manchester Royal Infirm, Dept Renal Med, Manchester M13 9WL, Lancs, England
来源
ADVANCES IN RENAL REPLACEMENT THERAPY | 2000年 / 7卷 / 04期
关键词
PD solutions; icodextrin; glucose; amino acids; bicarbonate;
D O I
10.1053/jarr.2000.16267
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
Currently available peritoneal dialysis (PD) solutions provide for adequate removal of metabolic waste and manage fluid and electrolyte imbalances. They are, however, bioincompatible and do lead to peritoneal membrane changes with long-term use. Glucose is now strongly implicated in this. Newer solutions (icodextrin, bicarbonate, those with reduced glucose degradation products, amino acids) provide for greater biocompatibility and also address the question of fluid removal and retention. The future of PD solutions lies in combinations and additives. (C) 2000 by the National Kidney Foundation, Inc.
引用
收藏
页码:302 / 309
页数:8
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