【摘要】 目的 观察血液透析抢救尿毒症伴严重代谢性酸中毒的疗效。 方法 对血pH值<7.0的尿毒症患者21例采用碳酸盐血液透析，透析前给予补充钙剂，对血压明显降低者给予升压治疗，对存在呼吸障碍者给予呼吸机辅助呼吸。 结果 患者行血液透析后血pH值及开始上升，血钾逐渐下降，透析结束时各值均达到基本正常范围。 结论 血液透析能够迅速纠正尿毒症患者严重代谢性酸中毒及高钾血症。

    【关键词】 血液透析;尿毒症;代谢性酸中毒

    Clinical analysis of hemodialysis in treatment of uremic patients complicated with severe acidosis

    ZHUMing-jiu，JIAO Quan，YANG Ai.Department of Nephrology，Huainan Eastern Hospital of Oriental General Hospital，Huainan232001，China

    【Abstract】 Objective To investigate the effect of hemodialysis for uremic paticnts complicated with severe metabolic acidosis.Methods Bicarbonate hemodialysis was applied for21uremic patients with acidosis(pH<7.0).Calciumwas supplied before hemodialysis.Blood pressure adjustment were performed for patients with hypopiesis.Breathing machines were served in treatment of patients with respiratory distress.Results Plasma pH and concentra-tion of bicarbonate(HCO 3- )began to rise;Serum potassium concentration gradually decreased after hemodialysis.Plasma pH ......