评估血液透析患者容量状态方法的进展  

Advances of fluid status assessment in hemodialysis patients

作　　者：何群鹏[1] 龚德华[1] 

机构地区：[1]南京军区南京总医院全军肾脏病研究所,南京210016

出　　处：《肾脏病与透析肾移植杂志》2013年第3期272-275,共4页Chinese Journal of Nephrology,Dialysis & Transplantation

摘　　要：准确评估血液透析(HD)患者细胞外液量(ECV)及容量状态是临床很重要且尚未解决的问题。目前评估ECV的方法有示踪剂稀释法、相对血容量监测法、超声测量上腔静脉直径及生物标记物等,但上述方法均不能准确反应容量状态。然而,生物电阻抗频谱分析法可能是目前评估HD患者容量状态的最佳方法。The assessment of extracellular fluid volume （ECV） and fluid status is both important and challenging problems in hemodialysis patients. A variety of methods are used to assess the ECV,including tracer dilution techniques,relative blood volume monitoring,measurement of inferior vena cava diameter by ultrasound and biochemical markers, which do not reflect the ECV and fluid status accurately because they are indirect methods. Currently, bioimpedance spectroscopy（BIS） appears to be the most practical method for assessing ECV volume and fluid status in dialysis patients.

关 键 词：血液透析 细胞外液量 容量状态 生物电阻抗 

分 类 号：R459.5[医药卫生—治疗学]