摘要
恶性心律失常是维持性血液透析(maintenance hemodialysis,MHD)患者死亡的重要原因。无尿、透析液低钾、透析间期钾蓄积可引起MHD患者的血钾波动,心脏电生理不稳定性增加,诱发恶性心律失常,存在基础心脏病的患者尤甚。MHD患者血钾稳态的管理尤为重要,本文就MHD患者血钾波动的危害及干预策略进行综述。
Malignant arrhythmia is an important cause for death in maintenance hemodialysis(MHD)patients.Auria,low potassium dialysate and potassium accumulation during dialysis can cause plasma potassium fluctuations in MHD patients.Increased electrophysiological instability of the heart induce malignant arrhythmia.Additionally,there are high prevalence of structural cardiac changes and ischemic heart diseases in MHD patients,making them more susceptible to acute arrhythmogenic triggers.Therefore,the management of potassium homeostasis is particular importance in MHD patients.This review focused on the risk factors and intervention strategy of fluctuation in plasma potassium in MHD patients.
作者
王冲(综述)
李月红(审校)
WANG Chong;LI Yuehong(Department of Nephrology,Beijing Tsinghua Changgung Hospital,Medical Center,Tsinghua University,Beijing 102218,China)
出处
《肾脏病与透析肾移植杂志》
CAS
CSCD
北大核心
2020年第4期386-389,368,共5页
Chinese Journal of Nephrology,Dialysis & Transplantation
基金
首都临床特色应用研究(Z181100001718129)。
关键词
血液透析
恶性心律失常
钾
hemodialysis
malignant arrhythmia
potassium
