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肾素-血管紧张素系统抑制剂在腹膜透析中应用的临床研究进展

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摘要 肾素血管紧张素系统(RAS)是机体调节血管张力和水钠代谢的重要系统,存在于全身多种组织和器官。肾素主要由肾小球旁器产生,主要由肝产生的血管紧张素原在肾素的作用下转化为血管紧张素Ⅰ继而在血管紧张素转换酶的作用下,转化为血管紧张素Ⅱ。血管紧张素Ⅱ可增加醛固酮的合成,可收缩血管、增加外周阻力,导致血压升高。激活的醛固酮则作用于集合管,导致水钠潴留。RAS系统的抑制剂,包括血管紧张素转换酶抑制剂(ACEI)和血管紧张素受体拈抗剂(ARB),
出处 《中华肾脏病杂志》 CAS CSCD 北大核心 2013年第1期64-67,共4页 Chinese Journal of Nephrology
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