连续性肾脏替代治疗与低磷血症

Continuous renal replacement therapy and hypophosphatemia

低磷血症是连续性肾脏替代治疗(continuous renal replacement therapy,CRRT)期间发生的常见且潜在的严重并发症,且经常容易被低估及忽视。该文系统性检索并回顾既往CRRT与低磷血症的相关文献,并从CRRT期间影响低磷血症的危险因素、对机体的影响、现有CRRT期间补磷方案等方面进行总结,以引起大家在临床工作中对CRRT期间低磷血症的重视。

Hypophosphatemia is a common and potentially serious complication during continuous renal replacement therapy(CRRT),which is often underestimated and ignored.This article systematically searched and reviewed the relevant literature on previous CRRT and hypophosphatemia,and summarized the risk factors affecting hypophosphatemia during CRRT,the impact on the body,and the existing phosphorus supplement scheme during CRRT,so as to attract everyone’s attention to hypophosphatemia during CRRT in clinical work.