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만성 신부전증 혈액투석 및 CAPD 환자에서 산염기 균형의 변화
김인식,강성구,장윤식,윤영석,방병기,이흥현,표석주,양종목 대한내과학회 1986 대한내과학회지 Vol.30 No.1
To evaluate the changes of acid-base balance in chronic uremia, we performed analysis of arterial blood gas in 22 subjects on non-dialytic chronic renal failure(CRF), 13 subjects on continuous ambulatory peritoneal dialysis(CAFD), and 15 subjects on maintenance hemodialysis(HD). The results were as follows: 1) The high values of arterial Ph(p$lt;0.001, respectively), HCO3 -(p$lt;0,01, p$lt;0.001) and low value of base excess(p$lt;0. 001, respectively) were showed in CAPD group compared with non-dialytic CRF group & pre-4ialytic HD group. 2) There was no statistical differences of value of arterial Ph, HCO3- & base excess between nondialytic CRF group & pre-dialytic HD group. Also, same fin4ings of their values were noted between CAPD group k post-dialytic HD group. 3) The value of arterial Ph in post-dialytic HD group was significantly higher than that of non-dialytic CRF group & predialytic HD group(p$lt; 0.001, respectively). However, the value of arterial Hco-3 between above two groups was not different. 4) The value of arterial PCO in post-dialytic HD group was lower than that of non-dialytic HD group & predialytic HD group(p$lt;0. 01, respectively). However, there was no difference of arterial PCO2 values between each other group. 5) The arterial PO2 value was not significantly different between each group. In conclusion, the acid-base status in patient with chronic uremia were effectively corrected & sustained in CAPD group than those of maintence HD and non-dialytic CRF group.