摘要
乳酸由丙酮酸还原而成,是糖中间代谢产物,当缺氧或丙酮酸未氧化时即还原为乳酸。各种原因引起血乳酸水平升高而导致的酸中毒称为乳酸性酸中毒。文章结合腹膜透析患者发生高乳酸血症情况,介绍该患者的诊疗经过,以及对整个治疗过程中的相关问题进行探讨,以提高对腹膜透析患者管理中营养不良、透析充分性、人文关怀等问题的重视。
Lactic acid is reduced from pyruvate,which is an intermediate metabolite of sugar,when the oxygen is deficient or pyruvate is not oxidized,it is reduced to lactic acid.Acidosis caused by the rise of blood lactate level is called lactate acidosis.This paper introduces the diagnosis and treatment process of patients with hyperlactatemia in peritoneal dialysis,and discusses the related problems in the whole treatment process,so as to improve the attention of malnutrition,dialysis adequacy,humanistic care and other issues in the management of peritoneal dialysis patients.
作者
方吕贵
母淑娟
李强
Fang Lugui;Mu Shujuan;Li Qiang(Nephrology Department,South Area of Guang'anmen Hospital of Chinese Academy of Traditional Chinese Medicine,Beijing 100000)
出处
《中国社区医师》
2020年第22期33-34,共2页
Chinese Community Doctors
关键词
腹膜透析
乳酸酸中毒
营养不良
透析充分性
Peritoneal dialysis
Lactate acidosis
Malnutrition
Dialysis adequacy
