Metabolic alterations in dialysis patients Drechsler, C.
Hele tekst
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(419) 3.8/B 8=
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(421) KJAI=NGANOEJPDA @E=CJKOEOKBHKSPQNJKRANKOPAK@UOPNKLDUEJD=AIK@E=HUOEOL=PEAJPO
(422) "/:2;963+6 ';+8<:6+8=
(423). . 1DANN=N@"( &AN?V% .AE7 +=HKJAU, %NAAJSKK@! +=JQAH 1=ELDKK! $AJPKJ11 1ACNA%4
(424) 2DAOLA?PNQIKB>KJA@EOA=OAEJAJ@ OP=CANAJ=HB=EHQNA =J ARKHREJC@EOKN@AN
(425) 3.8/B8=
(426). . RN=I ++ 1NAA@D=N= 0 RN=I ") +Q?DJE?G 0 $AEJ .
(427) #JNKHHIAJP L=N=PDUNKE@ DKNIKJA HARAH EO = JAS I=NGAN KB OQNRER=H EJ DAIK@E=HUOEO =J@ LANEPKJA=H@E=HUOEOPDAN=LUBKNQNAIE=
(428) 73.8/B3<
(429). . RN=I ++ +EPPI=J , +UEJP ++ $AEJ .
(430) 'ILKNP=J?A KB HKS OANQI EJP=?P L=N=PDUNKE@DKNIKJA=O=LNA@E?PKNKBIKNP=HEPUEJDAIK@E=HUOEO=J@LANEPKJA=H @E=HUOEO L=PEAJPO UA=NO KB LNKOLA?PERA K>OANR=PEKJ
(431) 7 3.8/B 3<
(432). . %QD(7 !DAJ&! !DQ=JC&7 &Q=JC1! !DEAJ*! *=E7&
(433) 0EOGB=?PKNO=J@NEOG BKNIKNP=HEPUKBIEH@DULKL=N=PDUNKE@EOIEJDAIK@E=HUOEOL=PEAJPO
(434) 73.8/B 3<
(435). . . AHH ,& #LOPAEJ 1 %NAAJA 1D=NU ( -ATI=JJ +( 1D=S 1
(436) #RE@AJ?A BKN =HPAN=PEKJKBPDAREP=IEJ" AJ@K?NEJAOUOPAIEJK>AOAOQ>FA?PO
(437) 6388?/<=
(438). . . KHH=J@ +( %NAU %=I>HA %" 0AE@ '0
(439) OOK?E=PEKJ >APSAAJ LNEI=NU DULANL=N=PDUNKE@EOI =J@ EJ?NA=OA@ >K@U SAECDP = IAP= =J=HUOEO
(440) 638 8.9-;3896!/=+,
(441). . 1JEF@AN+ R=J"=I0+ 4EOOAN+ "AAC"( "AGGAN(+ KQPAN*+ 1AE@AHH(! *ELO.
(442) @ELKOEPUEJNAH=PEKJPKREP=IEJ"OP=PQO=J@L=N=PDUNKE@DKNIKJAHARAHO =LKLQH=PEKJ >=OA@OPQ@UEJKH@ANIAJ=J@SKIAJ
(443) 6388.9-;3896!/=+,
(444). .
(445) 2+:=/;. . )KRAO@U!. DI=@V=@AD1 J@ANOKJ(# )=H=JP=N 8=@AD)
(446) ->AOEPUEO=OOK?E=PA@ SEPDOA?KJ@=NUDULANL=N=PDUNKE@EOIEJIAJSEPDIK@AN=PA=J@OARANA?DNKJE? GE@JAU@EOA=OA
(447) 6387&9-"/:2;96
(448). . $KQMQA" )=H=JP=N 8=@AD) )KLLHA( !=JK, !D=QRA=Q. !QLL=NE* $N=J?D & %Q=NJEANE % 'GEVHAN 2 )=UOAJ % *EJ@DKHI +=OOU 8 +EP?D 5 .EJA@= # 1PAJREJGAH . 2NAREJK A?ANN= 5=JJAN !
(449) LNKLKOA@ JKIAJ?H=PQNA =J@ @E=CJKOPE??NEPANE=BKNLNKPAEJ AJANCUS=OPEJCEJ=?QPA=J@?DNKJE?GE@JAU@EOA=OA
(450) 3.8/B8=
(451). . @A +QPOANP 0 1JEF@AN + R=J @AN 1I=J @A AAN 1AE@AHH (! KAO?DKPAJ #5 )NA@EAP 02 "AGGAN (+ 4=J@AJ>NKQ?GA (. "AGGAN $5
(452) OOK?E=PEKJ >APSAAJ >K@UI=OOEJ@AT=J@IKNP=HEPUEOOEIEH=NEJPDADAIK@E=HUOEOLKLQH=PEKJ=J@PDA CAJAN=HLKLQH=PEKJ=PDECD=CA=J@AMQ=H@QN=PEKJKBBKHHKS QL
(453) 7&9-"/:2;96
(454). . RN=I ++
(455) *KSAN L=N=PDUNKE@ DKNIKJA =J@ ?NA=PEJEJA EJ @E=>APE? QNAIE=
(456) 98=;3,"/:2;96
(457). . )=IU?DAR= # 1QJ@OBFKN@ ( (KN@A 0
(458) 1ANQI L=N=PDUNKE@ DKNIKJA HARAH EO =OOK?E=PA@ SEPD >K@U I=OO EJ@AT
(459) 2DA PD 2NKIOK OPQ@U
(460) >; 8.9-;3896
(461). . .=NEGD1( #@AHI=J+ 3S=EBK%' $NAA@I=J0( 1AIAC= (=JJAD+ 0AUJKH@O( 7=JKROGE(
(462) 2DANAH=PEKJODEL>APSAAJK>AOEPU=J@OANQI @EDU@NKTUREP=IEJ "?KJ?AJPN=PEKJOEJDA=HPDU=@QHPO
(463) 6388.9-;3896!/=+,
(464). . 5KNPOI=J( +=POQKG=*7 !DAJ2! *Q8 &KHE?G+$
(465) "A?NA=OA@>EK=R=EH=>EHEPUKB REP=IEJ"EJK>AOEPU
(466) 7638">=;
(467). . *EAH7 3HIAN# 1D=NU( &KHHEO 5 AHH,&
(468) *KS?EN?QH=PEJCREP=IEJ"EJK>AOEPU
(469) +6-30'3<<>/8=
(470). . -HIKO (+ 4=VMQAV * I=@K ( &ANJ=J@AV (* %KJV=HAV +(
(471) +EJAN=H IAP=>KHEOI EJ K>AOA L=PEAJPO BKHHKSEJC RANPE?=H >=J@A@ C=OPNKLH=OPU
(472) #,/< &>;1
(473). . @A+0 %NKKPAJ@KNOP"! KAO?DKPAJ#5 N=J@PO& R=J+=JAJ(% )NA@EAP02 "AGGAN$5
(474) 1Q>FA?PERACHK>=H=OOAOOIAJPKBJQPNEPEKJ=HOP=PQOEOOPNKJCHU=OOK?E=PA@ SEPDIKNP=HEPUEJ?DNKJE?@E=HUOEOL=PEAJPO
(475) 7638">=;
(476). .
(477) 2+81/<38$'!+8.79;=+63=B38.3+6B<3<. . "NA?DOHAN ! )N=JA 4 %NKKPAJ@KNOP "! 0EPV # 5EJGHAN ) +=NV 5 "AGGAN $ 5=JJAN !
(478) 2DA =OOK?E=PEKJ >APSAAJ L=N=PDUNKE@ DKNIKJA =J@ IKNP=HEPU EJ @E=HUOEOL=PEAJPOEOIK@EmA@>US=OPEJC
(479) "/:2;963+6';+8<:6+8=+=U
(480). . J@NAOO"*
(481) @UJ=IE?>KJAEJL=PEAJPOSEPD?DNKJE?GE@JAU@EOA=OA
(482) 3.8/B8=
(483). . 1=J?DAV %KJV=HAV+! *KLAV =NA=$ =FK+ 1AHC=O0
(484) 1ANQI=H>QIEJHARAHO =J =@@EPEKJ=H B=?PKN EILHE?=PA@ EJ DULANL=N=PDUNKE@EOI KQP?KIA EJ LANEPKJA=H @E=HUOEO = LNKOLA?PERA OPQ@U SEPD L=ENA@ >KJA >EKLOEAO
(485) .? $/;3= 3+6
(486). . !=NHOPA@P # 0E@ABAHP . *EJ@ * 0=OP=@ (
(487) 'JPANHAQGEJ EJ@Q?A@ OQLLNAOOEKJ KB >KREJAL=N=PDUNKE@DKNIKJAOA?NAPEKJ
(488) 39<-3%/:
(489). . ,EAHOAJ.) 0=OIQOOAJ) QPPANO0 $AH@P 0=OIQOOAJ3 AJ@PVAJ) "E=V0 NKSJ#+ -HC==N@)
(490) 'JDE>EPEKJKB.2&OA?NAPEKJ>UEJPANHAQGEJ >AP=EJ>KREJA L=N=PDUNKE@ CH=J@O EJ REPNK EO =OOK?E=PA@ SEPD =J QL NACQH=PEKJ KB PDA ?=H?EQI OAJOEJCNA?ALPKNI0,
(491) 39-2/739:2B<%/<977>8
(492). . #HABPANEKQ$ 2=GA@=1 #>ED=N=) +=CNA( .=P=JK, )EI! -C=S=7 *EQ6 5=NA1+ !N=ECAJ5( 0K>ANP(( 4EJOKJ! ,=G=K) !=LA=Q( )=NOAJPU%
(493) 1ANQI HALPEJHARAHEO=NACQH=PKNKB>KJAI=OO
(494) $;9-"+=6-+.&-3(&
(495).
(496).
(497) 2+:=/;. .
(498)
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%ERAJ PDA EJPANNAH=PEKJO KB S=OPEJC SEPD L=N=PDUNKE@ DKNIKJA IAP=>KHEOI SA DULKPDAOEVA@PD=PS=OPEJCIK@EmAOPDA=OOK?E=PEKJKB.2&SEPD=@RANOAKQP?KIAO EJ HKJC PANI @E=HUOEO L=PEAJPO
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2DEO DECD LNAR=HAJ?A KB REP=IEJ " @Am?EAJ?U EO EJ?NA=OEJCHUNA?KCJEOA@=O=JEILKNP=JPDA=HPDEOOQA>A?=QOAEPD=O>AAJODKSJ PD=P E =LLNKTEI=PAHU KB PDA DQI=J CAJKIA EO NACQH=PA@ >U PDA
2DEN@ PDA LNAOAJP SKNG KQPHEJA@ EJ PDEO PDAOEO LNKRE@AO = OPNKJC N=PEKJ=HA BKN JKRAH EJPANRAJPEKJO EJ @E=HUOEO L=PEAJPO... !KJOE@ANEJC PDA AT?AOO IKNP=HEPU =J@ L=Q?EPU KB @=P=
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