摘要
容量负荷是决定维持性血液透析(MHD)患者预后的重要影响因素,准确评估容量负荷可以帮助医师确定干体质量范围,达到良好的MHD治疗效果。临床中常将患者的水肿程度、体质量变化及有无喘息等症状作为评估容量负荷依据,但其准确性差、没有定量分析比较,且具有延迟性。同位素测定法被认为是评估MHD患者容量负荷的"金标准",但其方法繁琐、价格昂贵,不适宜在临床中普及。近年来超声法、放射线法及血清标志物方法广泛应用于临床,为MHD容量负荷评估提供更多的参考依据。
Capacity load is an important factor in determining the prognosis of patients with maintenance hemodialysis （MHD）. Accurate assessment of capacity can help doctors determine the range of dry weight and achieve good MHD treat- ment. In clinical, the degree of edema, weight change and wheezing of the patient are often used as the basis of assessment capacity, but its accuracy is poor, and there is no quantitative analysis comparison, and it is delayed. Isotopic determination is considered to be a ＂gold standard＂ for assessing the capacity of MHD patients, but is not suitable for widespread use in clinical practice because of its cumbersome and expensive methods. In recent years,ultrasonic method,radiographic method and serum marker method have been widely used in clinical, providing more reference for MHD capacity assessment.
作者
于佳岚
马萍
王诗哲
YU Jialan MA Ping WANG Shizhe.(Cadet Department One, Dalian PLA 210th Hospital, Dalian 116021, China)
出处
《医学综述》
2017年第18期3660-3664,共5页
Medical Recapitulate
关键词
维持性血液透析
容量负荷
评估
Maintenance hemodialysis
Capacity load
Evaluation
