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Том 2 №3 2000 год - Нефрология и диализ

Ятрогенная гиперкалиемия: диагностика и лечение


Костас С. Сиамопулос Мозес Элисаф Костас Катоподис

Аннотация: Гиперкалиемия является угрожающим жизни электролитным нарушением. В обычных условиях она наблюдается редко, благодаря гомеостатическим механизмам, обеспечивающим поддержание нормального уровня калия в плазме крови. Среди этих механизмов особое место занимает способность почек усиленно экскретировать калий при повышении его уровня в крови. Следовательно, гиперкалиемия почти всегда связана с повреждением этого механизма. Однако при острой и хронической почечной недостаточности ее развитию может способствовать и избыточное поступление калия извне. ** Публикуется по согласованию с автором и с разрешения Oxford University Press. ** Перевод И.Г. Ким

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