医学
血液透析
透析
重症监护医学
低血糖
内科学
心脏病学
胰岛素
作者
Mengyu Wu,Yang Li,Xiangyu Hou,Wenqiang Zhang,Zunsong Wang
摘要
ABSTRACT For patients with end‐stage renal failure, hemodialysis is a crucial renal replacement therapy, which is meaningful to alleviate patients' symptoms and prolong survival. The principle of hemodialysis is to exchange the substances in the blood and dialysis solution through a semipermeable membrane and to discharge the excess water, metabolic waste, and electrolytes into the dialysis solution, which can balance the water, electrolytes, and acid–base. However, patients on maintenance hemodialysis are at high risk of developing cardiovascular and cerebrovascular diseases. Therefore, the composition of dialysis fluid has been widely studied, and the use of sugar‐containing dialysis fluid can reduce the incidence of hypoglycemia, hypotension, and cardiovascular and cerebrovascular complications in hemodialysis patients. This article reviews the effects of current glucose‐containing dialysate on cardiovascular and cerebrovascular outcome events in hemodialysis patients.
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