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一、肾衰时的盐类异常 1.食盐入量:日本卫生部劝告健康成人日入量控制在10克以内,而透析病人多并发高血压、心衰、浮肿等,盐应限制于:每周血透两次者3~5g/日;三次者为3~8g/日。 2.高钾血症:钾的入量应限制在日1300mg以内。 3.低钙、高磷血癌:肾衰时排磷少、血磷升高,血钙下降,使甲状旁腺分泌PTH增多,以促进排磷,改善钙:磷比值。而这一状态因病变进展而遭破坏,再发生钙、磷比值失常、刺激PTH的
First, the salt failure when renal failure 1. Salt intake: Japan Ministry of Health advised healthy daily control of adults less than 10 grams, while patients with dialysis and more high blood pressure, heart failure, edema, salt should be limited to: Hemodialysis twice a week 3 ~ 5g / day; three times for the 3 ~ 8g / day. 2. Hyperkalemia: potassium intake should be limited to less than 1300mg. 3. Low calcium, high phosphorus blood cancer: renal failure when less row phosphorus, elevated serum phosphorus, decreased serum calcium so that parathyroid secretion of PTH increased to promote phosphorus, improve calcium: phosphorus ratio. And this state is damaged due to the progress of the disease, and then occur calcium and phosphorus ratio disorders, stimulating PTH