让我们停止谈论"酸盐毒性"
Avantika Israni1, David S Goldfarb
1Nephrology Division, NYU Grossman School of Medicine and Nephrology Section, NY Harbor VA Healthcare System, New York, New York, USA.
Current opinion in nephrology and hypertension
|November 14, 2023
概括
术语"酸盐毒性"对于连续脏替代疗法 (CRRT) 抗凝药是误导性的. 这次审查建议用"酸盐积累"取代它,以更好地反映潜在的不良影响,如低血症.
科学领域:
- 腎臟病學 (nephrology) 是一種醫學專業.
- 临界护理医学 临界护理医学
- 药理学 药理学是指药理学的学科.
背景情况:
- 在重症患者急性损伤 (AKI) 中,持续置换疗法 (CRRT) 是必不可少的.
- 区域酸盐抗凝药是预防CRRT期间体外电路凝血的首选方法.
- 关于"酸盐毒性"的担忧往往来自于酸盐积累的感知不良影响.
结论:
- 当前的术语"酸盐毒性"是不准确的,应该重新考虑.
- 应该采用更精确的术语"酸盐积累"来描述不良事件.
- 对CRRT中酸盐的安全性概况的细微了解对于适当的临床管理至关重要.
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