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Three-Stream, Bicarbonate-Based Hemodialysis Solution Delivery System Revisited: With an Emphasis on Some Aspects of Acid-Base Principles

机译：三流，基于碳酸氢盐的血液透析溶液递送系统重新审视：重点是酸基原则的一些方面

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摘要

Hemodialysis patients can acquire buffer base (i.e., bicarbonate and buffer base equivalents of certain organic anions) from the acid and base concentrates of a three-stream, dual-concentrate, bicarbonate-based, dialysis solution delivery machine. The differences between dialysis fluid concentrate systems containing acetic acid versus sodium diacetate in the amount of potential buffering power were reviewed. Any organic anion such as acetate, citrate, or lactate (unless when combined with hydrogen) delivered to the body has the potential of being converted to bicarbonate. The prescribing physician aware of the role that organic anions in the concentrates can play in providing buffering power to the final dialysis fluid, will have a better knowledge of the amount of bicarbonate and bicarbonate precursors delivered to the patient.
机译：血液透析患者可以从三流，双浓缩，碳酸氢盐的透析溶液输送机的酸和碱浓缩物获取缓冲碱（即，碳酸氢盐和某些有机阴离子的等当量）。 综述了含有乙酸与碘酸钠含量潜在缓冲能力的透析液浓缩物体系的差异。 任何有机阴离子，如醋酸盐，柠檬酸盐或乳酸（除非与氢）递送到体内时的含量具有转化为碳酸氢盐的潜力。 规定的医师意识到浓缩物中的有机阴离子在为最终透析流体提供缓冲功率时可以发挥的作用，将更好地了解赋予患者的碳酸氢盐和碳酸氢盐前体的量。

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