ISSN 1006-298X      CN 32-1425/R

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肾脏病与透析肾移植杂志

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连续性血液净化治疗中的低磷血症

  

  • 出版日期:2020-12-28 发布日期:2020-12-28

Hypophosphatemia in continuous blood purification

  • Online:2020-12-28 Published:2020-12-28

摘要: 连续性血液净化治疗(CBP)中患者常出现电解质紊乱,其中低磷血症十分常见。机体磷水平的下降会影响呼吸、循环、神经肌肉等多个系统,引起多脏器的功能不全。CBP中出现低磷血症可能造成呼吸衰竭、机械通气时间延长、脱机困难。因此,在行CBP时,应评估患者营养、肾脏功能等情况,监测血磷并及时干预。本文主要介绍行CBP中低磷血症的发生机制、可能的不良影响及干预措施。

关键词: 连续性血液净化, 低磷血症, 疗效

Abstract: Electrolyte abnormalities often occur in patients undergoing  continuous blood purification(CBP),and hypophosphatemia is very common.CBP can cause continuous loss of serum phosphate.The decrease of phosphorus level may cause insufficiency of multiple organs,such as respiration,circulation and neuromuscular system. Hypophosphatemia during CBP may induce respiratory failure,prolonged mechanical ventilation,and difficulty in weaning.Therefore,during CBP,patients′ nutrition and renal function should be evaluated,serum phosphorus should be monitored. Individualized phosphate replacement was effective and safe . Hypophosphatemia in CBP is still a neglected problem.This review mainly introduces the mechanism,possible effects and intervention measures of hypophosphatemia in CBP patients.