Sodium Chloride

氯化钠
  • 文章类型: Journal Article
    盐度被认为对特征有影响,好氧颗粒污泥的微生物群落性能。本研究调查了不同梯度下盐逐渐增加的造粒过程。操作两个相同的序批式反应器,而Ra和Rb的流入液经历NaCl浓度的逐步增加(0-4g/L和0-10g/L)。丝状细菌的存在可能有助于在较低盐度条件下形成颗粒,可能导致颗粒破碎。尽管在后期阶段Rb中亚硝酸盐的积累很少,但在两个反应器中都实现了出色的去除效率。化学需氧量(COD)的去除效率,总氮(TN),Ra中总磷(TP)为95.31%,93.70%和88.66%,而相应的Rb去除率为94.19%,89.79%和80.74%。盐度刺激胞外聚合物(EPS)分泌并富集产生EPS的细菌,以帮助维持好氧颗粒的完整性和稳定性。异养硝化细菌负责盐度系统的NH4+-N和NO2--N氧化,保证了系统中TN的高去除效率。
    Salinity was considered to have effects on the characteristics, performance microbial communities of aerobic granular sludge. This study investigated granulation process with gradual increase of salt under different gradients. Two identical sequencing batch reactors were operated, while the influent of Ra and Rb was subjected to stepwise increments of NaCl concentrations (0-4 g/L and 0-10 g/L). The presence of filamentous bacteria may contribute to granules formed under lower salinity conditions, potentially leading to granules fragmentation. Excellent removal efficiency achieved in both reactors although there was a small accumulation of nitrite in Rb at later stages. The removal efficiencies of chemical oxygen demand (COD), total nitrogen (TN), and total phosphorus (TP) in Ra were 95.31%, 93.70% and 88.66%, while the corresponding removal efficiencies in Rb were 94.19%, 89.79% and 80.74%. Salinity stimulated extracellular polymeric substances (EPS) secretion and enriched EPS producing bacteria to help maintain the integrity and stability of the aerobic granules. Heterotrophic nitrifying bacteria were responsible for NH4+-N and NO2--N oxidation of salinity systems and large number of denitrifying bacteria were detected, which ensure the high removal efficiency of TN in the systems.
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  • 文章类型: Journal Article
    盐胁迫是植物生长面临的共同挑战,影响种子质量,发芽,和一般植物健康。氯化钠(NaCl)离子破坏膜,导致离子泄漏和降低种子活力。已发现赤霉素(GA3)处理可促进发芽并减轻盐度胁迫对发芽和植物生长的影响。\'Bauer\'和\'Muir\'生菜(Lactucasativa)种子浸泡在蒸馏水中(对照),100mMNaCl,100mMNaCl+50mg/LGA3和100mMNaCl+150mg/LGA3在培养皿中,并在25°C的黑暗生长室中保持24小时。发芽后,使用嵌入式摄像机监测幼苗,捕捉红色,绿色,和从播种到最终收获的蓝色(RGB)图像。尽管发芽率一致,用NaCl处理的\'Bauer\'种子显示发芽减少。令人惊讶的是,\'Muir\'品种的最终干重在不同的处理中有所不同,NaCl和高GA3浓度组合产生的效果最差(p<0.05)。这项研究强调了GA3应用在提高发芽率方面的功效。然而,在浓度升高的情况下,它诱导了过度的下胚轴伸长和苍白的幼苗,对二维成像提出了挑战。尽管如此,S形回归模型使用预测的冠层大小准确地预测了整个生长阶段和品种的干重,尽管治疗存在差异,但强调其可靠性(R2=0.96,RMSE=0.11,p<0.001)。
    Salinity stress is a common challenge in plant growth, impacting seed quality, germination, and general plant health. Sodium chloride (NaCl) ions disrupt membranes, causing ion leakage and reducing seed viability. Gibberellic acid (GA3) treatments have been found to promote germination and mitigate salinity stress on germination and plant growth. \'Bauer\' and \'Muir\' lettuce (Lactuca sativa) seeds were soaked in distilled water (control), 100 mM NaCl, 100 mM NaCl + 50 mg/L GA3, and 100 mM NaCl + 150 mg/L GA3 in Petri dishes and kept in a dark growth chamber at 25 °C for 24 h. After germination, seedlings were monitored using embedded cameras, capturing red, green, and blue (RGB) images from seeding to final harvest. Despite consistent germination rates, \'Bauer\' seeds treated with NaCl showed reduced germination. Surprisingly, the \'Muir\' cultivar\'s final dry weight differed across treatments, with the NaCl and high GA3 concentration combination yielding the poorest results (p < 0.05). This study highlights the efficacy of GA3 applications in improving germination rates. However, at elevated concentrations, it induced excessive hypocotyl elongation and pale seedlings, posing challenges for two-dimensional imaging. Nonetheless, a sigmoidal regression model using projected canopy size accurately predicted dry weight across growth stages and cultivars, emphasizing its reliability despite treatment variations (R2 = 0.96, RMSE = 0.11, p < 0.001).
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  • 文章类型: Journal Article
    包虫囊肿是细粒棘球蚴的后生阶段,发生在草食动物和人类作为中间宿主,通过饲草和蔬菜消耗寄生虫卵。食肉动物,作为最终的主人,通过消耗被感染的食草动物囊泡而被感染。包虫囊肿最有效的治疗方法是外科手术。通过加热灭活E.granulosus原型,冷却,或化学品如氯化钠可被认为是控制人和动物葡萄胎病的有效方法。本研究的主要目的是评估不同温度和盐度条件对细粒棘球蚴原头节存活的影响。为此,分别用不同温度(+10°C,+50°C,+60°C,+72°C,和-20°C)和氯化钠浓度(5%,10%,15%,和20%)持续3、6、12、24、48和72小时。此外,将50g感染的肝脏单独储存在冰箱(+4°C)中作为对照组。通过在光学显微镜下用1%伊红染色来评估原头节的存活率。结果表明,原头肌受到显著影响,0.5h后在-20°C下死亡率为100%,在+72°C时完全死亡,+60°C,+50°C,1、1.5、3和24小时后+10°C,分别为(p<0.005)。同样,在3小时后,在5%NaCl下,肝脏块中的原节存活,但在24小时后死亡10%,12小时后15%,6h后为20%。结论是,将感染了原头囊包虫囊肿的肝脏暴露于-20℃的温度和10%的氯化钠浓度下24h适合于灭活原头囊。
    Hydatid cyst is the metacestode stage of Echinococcus granulosus that occurs in herbivores and humans as intermediate hosts by consuming parasite eggs through forage and vegetables. Carnivores, as definitive hosts, become infected by consuming infected vesicles of herbivores. The most effective treatment for a hydatid cyst is surgical operation. Inactivating E. granulosus protoscoleces through heating, cooling, or chemicals such as sodium chloride can be considered an effective method for controlling hydatidosis in both humans and animals. The main objective of this study was to evaluate the effect of different temperatures and salinity conditions on the survival of Echinococcus granulosus protoscoleces. For this purpose, 50 g of infected liver (in triplicate) was separately treated with different temperatures (+10°C, +50°C, +60°C, +72°C, and -20°C) and concentrations of sodium chloride (5%, 10%, 15%, and 20%) for 3, 6, 12, 24, 48, and 72 h. Additionally, 50 g of infected liver was stored separately in the refrigerator (+4°C) as a control group. The survival rate of the protoscoleces was evaluated by staining with 1% eosin under a light microscope. The results showed that the protoscoleces were significantly affected, with 100% mortality at -20°C after 0.5 h, and complete death at +72°C, +60°C, +50°C, and +10°C after 1, 1.5, 3, and 24 h, respectively (p < 0.005). Similarly, the protoscoleces in the liver mass survived at 5% NaCl after 3 h but died at 10% after 24 h, at 15% after 12 h, and at 20% after 6 h. It is concluded that exposing the liver infected with protoscoleces hydatid cyst to a temperature of -20°C and a sodium chloride concentration of 10% for 24 h is suitable for inactivating the protoscoleces.
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  • 文章类型: Journal Article
    这项研究调查了常规海盐养殖系统中的微塑料(MP)污染。传统上生产的各种粗海盐样品(n=22)是从盐场和当地供应商收集的。盐水(n=15),大型藻类(n=6),和池塘地板的粘土(n=6)是从经历不同产量的池塘中收集的(稳定,蒸发,和浓缩和结晶浓缩)过程。分析所有样品的MP丰度和特征。还研究了盐中MP污染的潜在来源。在整个生产过程中,池底盐水和粘土中MP的平均丰度逐渐增加,并在浓缩池和结晶池中达到最高水平(盐水中7400MP颗粒/m3,池底粘土中19,336MP颗粒/m2)。最大26,500MP颗粒/kg大型藻类材料表明MP在藻类表面上的潜在汇。在粗海盐样品中发现约34-2377MP颗粒/kg盐。然而,平均丰度(378MP颗粒/kg盐)表明不同收获过程对MP污染的影响不显著。大多数MP大小分布,盐中的形状和聚合物类型与盐水中的相似,池塘底的大型藻类和粘土。大约99%的国会议员是被怀疑是从盐场使用的较大塑料碎片和塑料机械和工具分解而来的碎片。类似的聚合物分布模式,其中PP>PE>PET>PS,在所有研究的样本中都找到了。
    This study investigated microplastic (MP) contamination in conventional sea salt farming systems. Various crude sea salt samples (n = 22) that were traditionally produced were collected from salt farms and local vendors. Salt water (n = 15), macroalgae (n = 6), and clay of pond floors (n = 6) were collected from ponds subjected to different production (stabilization, evaporation, and concentration and crystallization concentration) processes. All samples were analyzed for MP abundance and characteristics. The potential sources of MP contamination in the salt were also investigated. The mean abundance of MPs in the salt water and clay of pond floor increased progressively throughout the production process and reached its highest level in the concentration and crystallization ponds (7400 MP particles/m3 in salt water and 19,336 MP particles/m2 in the clay of the pond floor). A maximum of 26,500 MP particles/kg of macroalgal material indicated the potential sink of MPs on the surface of the algae. Approximately 34-2377 MP particles/kg salt were found in the crude sea salt samples. However, the mean abundance (378 MP particles/kg of salt) indicated nonsignificant impacts of different harvesting processes on MP contamination. Most MP size distributions, shapes and polymer types in the salts were similar to those found in the salt water, macroalgae and clay of the pond floor. Approximately 99% of the MPs were fragments that were suspected to be decomposed from larger plastic debris and plastic machinery and tools used at the salt farm. Similar patterns of polymer distribution, in which PP > PE > PET > PS, were found for all samples studied.
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  • 文章类型: Journal Article
    在欧洲,呼吸防护设备在上市前必须经过认证。在感兴趣的参数中,向内泄漏(IL)表征面密封件和端面之间的紧密度,以验证设备是否设计良好。欧洲标准EN13274-1(2001)和国际标准化组织(ISO)标准ISO16900-1(2019)规定,应使用氯化钠(NaCl)气溶胶或六氟化硫(SF6)气体测量IL。对于由无孔材料制成的可重复使用的口罩,两种测试剂被认为同样可以接受。然而,少数比较了各种气溶胶和气体测得的IL值的研究得出了不同的结论。然后,这项工作旨在用标准推荐的测试剂测量IL,以确定它们是否真的等效。由于氪(Kr)是标准测试中替代SF6的有趣候选者,同时用SF6和Kr评估IL,并与NaCl气溶胶使用各种计算方法。对戴在连接到呼吸机的人头模型上的5种全脸面罩进行了测试,模拟了3种各种强度的正弦呼吸频率。使用受控负压方法评估呼吸器在人头模型上的贴合性以确定人体模型贴合性因子。然后测试了四种情况,以代表非常差,坏,不错,和优秀的适合。使用质谱仪测量气体浓度,计算SF6和Kr的IL。3种设备的组合可以确定直径在20nm至2µm之间的颗粒的基于数量的浓度,并计算了33个通道中的每个通道的IL,以及使用累积数浓度。此外,为了符合标准,使用累积质量浓度进行转化以计算IL。这项工作的结果表明,用NaCl测得的IL值系统地低于用气体测得的IL值。IL也显示随颗粒大小而变化,最大值超过累积浓度(数量或质量)计算的最大值。作为标准修订的一部分,应重新定义测量向内泄漏的协议。一方面,应根据测试剂(气体或气溶胶)的性质重新评估可接受性阈值,因为很明显,对于给定的配置,2个选项不会给出相同的结果。另一方面,气溶胶泄漏测量协议需要重新设计,以实现定义明确的测量,健壮,和可重复的向内泄漏值。
    In Europe, respiratory protective devices must be certified before they can be marketed. Among the parameters of interest, inward leakage (IL) characterizes the tightness between the face seal and the face, to verify that the device is well-designed. European standard EN 13274-1 (2001) and International Organization for Standardization (ISO) standard ISO 16900-1 (2019) specify that IL should be measured using sodium chloride (NaCl) aerosol or sulfur hexafluoride (SF6) gas. For reusable masks made of nonporous materials, both test agents are considered equally acceptable. However, the few studies that have compared IL values measured with various aerosols and gases have come to divergent conclusions. This work then aimed to measure IL with the test agents recommended by the standards to determine whether they are really equivalent. Since krypton (Kr) is an interesting candidate for replacing SF6 in standard tests, IL was assessed with SF6 and Kr simultaneously, and with NaCl aerosol using various calculation methods. Tests were carried out on 5 models of full-face masks donned on a headform connected to a breathing machine simulating 3 sinusoidal breathing rates of various intensities. The respirator fit on the headform was evaluated using a controlled negative pressure method to determine a manikin fit factor. Four scenarios were then tested to represent very poor, bad, good, and excellent fit. Gas concentration was measured using a mass spectrometer, and IL was calculated for SF6 and Kr. A combination of 3 devices allowed the determination of the number-based concentration of particles with diameters between 20 nm and 2 µm, and IL was calculated for each of the 33 channels, as well as using a cumulative number concentration. In addition, to comply with standards, a conversion was carried out to calculate IL using a cumulative mass concentration. The results of this work evidenced that the IL values measured with NaCl were systematically lower than those determined with gases. IL was also shown to vary with particle size, with a maximum value exceeding that calculated with cumulative concentrations (in number or mass). As part of the revision of the standards, protocols for measuring inward leakage should be redefined. On the one hand, acceptability thresholds should be re-evaluated according to the nature of the test agent (gas or aerosol), as it is clear that the 2 options do not give the same results for a given configuration. On the other hand, the aerosol leakage measurement protocol needs to be reworked to enable the measurement of a well-defined, robust, and reproducible inward leakage value.
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  • 文章类型: Journal Article
    芒草是一种多年生草,适合在边缘土地上生产木质纤维素生物质。尽管如此,盐胁迫对芒草细胞壁组成的影响及其对生物量质量的影响却很少受到关注。在这项研究中,我们研究了暴露于中度(100mMNaCl)或重度(200mMNaCl)盐水的生长条件如何改变15种芒草基因型茎中原代和次生细胞壁成分的组成。在含量和结构特征方面,暴露于胁迫极大地影响了生物量产量和细胞壁组成。总的来说,观察到的成分变化在严重胁迫条件下更为明显,并且在对胁迫敏感性较高的基因型中更为明显。除了严重降低的纤维素含量,盐胁迫导致果胶含量增加,推测为I型高分支鼠李糖半乳糖醛酸的形式,尽管盐胁迫对总木质素含量的影响有限,在最敏感的基因型中,酸溶性木质素含量大大增加。这种作用也反映在木质素结构的基本改变中,并导致丁香亚基和对香豆酸部分的掺入显着减少。有趣的是,与在对照条件下连续生长的植物相比,在胁迫后允许恢复期的植物最终具有降低的木质素含量。此外,盐胁迫诱导的细胞壁改变有助于提高酶促糖化效率。
    Miscanthus is a perennial grass suitable for the production of lignocellulosic biomass on marginal lands. The effects of salt stress on Miscanthus cell wall composition and its consequences on biomass quality have nonetheless received relatively little attention. In this study, we investigated how exposure to moderate (100 mM NaCl) or severe (200 mM NaCl) saline growing conditions altered the composition of both primary and secondary cell wall components in the stems of 15 Miscanthus sinensis genotypes. The exposure to stress drastically impacted biomass yield and cell wall composition in terms of content and structural features. In general, the observed compositional changes were more pronounced under severe stress conditions and were more apparent in genotypes with a higher sensitivity towards stress. Besides a severely reduced cellulose content, salt stress led to increased pectin content, presumably in the form of highly branched rhamnogalacturonan type I. Although salt stress had a limited effect on the total lignin content, the acid-soluble lignin content was strongly increased in the most sensitive genotypes. This effect was also reflected in substantially altered lignin structures and led to a markedly reduced incorporation of syringyl subunits and p-coumaric acid moieties. Interestingly, plants that were allowed a recovery period after stress ultimately had a reduced lignin content compared to those continuously grown under control conditions. In addition, the salt stress-induced cell wall alterations contributed to an improved enzymatic saccharification efficiency.
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  • 文章类型: Journal Article
    病毒性疾病严重威胁着人类,而大多数抗病毒药物对人类健康具有低效率和副作用。因此,使用微生物生物聚合物作为替代药物来治疗病毒感染似乎是具有成本效益和人类友好的选择。在本研究中,分离出34种产生胞外多糖(EPS)的细菌,在0、100和150mMNaCl下确定了5种耐盐分离株的EPSs生产能力。其中,通过16SrRNA基因分析鉴定出两个具有高抗大肠杆菌噬菌体活性的分离株。此外,通过傅里叶变换红外(FTIR)光谱和X射线衍射(XRD)分析,并确定了它们的组成。与非盐水对照相比,五种耐盐细菌(MK1,MK2,MK10,MK22和MK29)在100mMNaCl下表现出更高的EPS产量。在100mMNaCl,EPS的产量在105至330mg100mL-1肉汤之间。分离物MK1和MK2产生的EPS表现出较高的抗大肠杆菌噬菌体活性(菌斑形成单位分别从43×106mL-1降低到3×106和4×106mL-1),由葡萄糖组成,果糖,半乳糖,蔗糖,乳糖和木糖糖。FTIR光谱表明,EPS主要由羟基组成,脂肪族,羧基,硫酸盐和磷酸盐官能团,可以结合大肠杆菌噬菌体,从而赋予EPS更高的抗大肠杆菌噬菌体活性。系统发育分析表明,MK1和MK2分离株在Priestia属和Bacillus序列中形成了进化枝,分别。在盐水条件下细菌分离株的高EPS生产能力和EPS的高抗大肠杆菌噬菌体活性意味着细菌生物聚合物可用于抗病毒药物治疗。
    Viral diseases are a serious threat to humans while the most antiviral drugs have low efficiency and side effects on human health. Therefore, using microbial biopolymers as the drugs alternate to treat viral infections seems cost-effective and human friendly option. In the present study, thirty-four exopolysaccharides (EPSs) producing bacteria were isolated, and EPSs production capacity of five salt-tolerant isolates was determined under 0, 100 and 150 mM NaCl. Among these, two isolates exhibiting high anti-coliphage activity were identified through 16S rRNA gene analysis. Moreover, the EPSs were characterized by Fourier-transform infrared (FTIR) spectroscopy and X-ray diffraction (XRD) analysis, and their composition was determined. Five salt-tolerant bacteria (MK1, MK2, MK10, MK22 and MK29) exhibited higher production of EPSs at 100 mM NaCl compared to that under non-saline control. At 100 mM NaCl, the yield of EPSs ranged between 105 and 330 mg 100 mL-1 broth. The EPSs produced by the isolates MK1 and MK2 exhibited higher anti-coliphage activity (plaque forming unit decreased from 43 × 106 mL-1 to 3 × 106 and 4 × 106 mL-1, respectively), and were comprised of glucose, fructose, galactose, sucrose, lactose and xylose sugars. FTIR spectroscopy depicted that EPSs are mainly composed of hydroxyl, aliphatic, carboxyl, sulfate and phosphate functional groups, which could have bound coliphage and thus conferred higher anti-coliphage activities to the EPSs. Phylogenetic analysis revealed that MK1 and MK2 isolates formed clades within genus Priestia and Bacillus sequences, respectively. High EPSs production capacity of bacterial isolates under saline condition and high anti-coliphage activity of the EPSs implies that bacterial biopolymers could be useful in antiviral drugs therapy.
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  • 文章类型: Journal Article
    从废活性污泥中回收碳已经引起了相当多的关注。然而,碳源在相之间的迁移和转化模式很少有报道。在这项研究中,提出了一种使用阳离子交换树脂(CER)和氯化钠(NaCl)通过厌氧发酵(AF)提高碳回收率的新策略。结果表明,CER与NaCl偶联破坏了酰胺I中的OH和CO拉伸,同时促进了β-折叠和无规卷曲结构的形成,导致污泥崩解。这显著改善了内源性碳释放的动力学,导致1146.33mg/L的碳从固体污泥释放到液相中。大约75.61%的初始碳源被生物转化为短链脂肪酸。相应地,碳回收率显著提高至852.23mgC/L,是对照组的4.57倍。机理探索表明,CER和NaCl的协同作用显著提高了碳源回收率。CER有效地从细胞外聚合物(EPS)中去除高价阳离子,削弱其桥接和吸附电中和能力,促进蛋白质反絮凝,并触发EPS破坏以释放细胞外碳源。NaCl破坏了微生物细胞内外的离子强度和分布,产生渗透压差,导致细胞质解和裂解,最终诱导细胞内碳源的释放。经济和碳减排效益分析验证了CER与NaCl预处理相结合是一种经济有效的污泥处理策略。这项研究说明了CER与NaCl辅助AF过程耦合的碳源迁移和转化途径。为可持续污泥管理提供指导。
    Carbon recovery from waste activated sludge has been attracting considerable attention. However, the migration and transformation patterns of carbon sources between the phases have rarely been reported. In this study, a novel strategy using cation exchange resin (CER) coupled with sodium chloride (NaCl) to enhance carbon recovery through anaerobic fermentation (AF) was proposed. The results demonstrated that CER coupled with NaCl destroyed OH and CO stretching in amide I while promoting the formation of β-sheet and random coil structures, leading to sludge disintegration. This significantly improved the kinetics of endogenous carbon release, resulting in the release of 1146.33 mg/L of carbon from the solid sludge into the liquid phase. Approximately 75.61 % of the initial carbon source was bio-transformed into short-chain fatty acids. Correspondingly, carbon recovery was significantly increased up to 852.23 mg C/L, 4.57 times that of the control. Mechanism exploration revealed that carbon source recovery was significantly elevated by the synergistic effect of CER and NaCl. CER effectively removed high-valence cations from extracellular polymeric substance (EPS), weakening its bridging and adsorption-electro neutralization capabilities, promoting protein deflocculation, and triggering EPS disruption to release extracellular carbon sources. NaCl disrupted the ionic strength and distribution inside and outside microbial cells, creating an osmotic pressure difference that resulted in cell plasmolysis and lysis, ultimately inducing the release of intracellular carbon sources. Economic and carbon emission reduction benefit analyses verified that the CER coupled with NaCl pretreatment is a cost-effective sludge treatment strategy. This study illustrates the carbon source migration and transformation pathways in the CER coupled with NaCl-assisted AF process, providing guidance for sustainable sludge management.
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  • 文章类型: News
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  • 文章类型: Journal Article
    目的:确定与生理盐水相比,平衡溶液是否可以降低非体外循环冠状动脉搭桥术后急性肾损伤的发生率。
    方法:随机对照试验。
    方法:单一三级护理中心。
    方法:2014年6月至2020年7月期间接受非体外循环冠状动脉搭桥手术的患者。
    方法:基于平衡溶液的氯化物限制性静脉输液策略。
    结果:主要结局是术后7天内的急性肾损伤,根据2012年肾脏疾病:改善全球结果临床实践指南的定义。急性肾损伤的发生率在平衡组为4.4%(8/180),在生理盐水组为7.3%(13/178)。差异无统计学意义(风险差异、-2.86%;95%置信区间[CI],-7.72%至2.01%;风险比,0.61,95%CI,0.26至1.43;p=0.35)。与平衡组相比,生理盐水组术中血清氯化物水平较高,碱过量较低,这导致较低的pH。
    结论:在接受非体外循环旁路手术的患者中,肾小球滤过率估计正常,术中平衡的基于溶液的氯化物限制性静脉输液给药策略与基于盐水的氯化物-游离性静脉输液给药策略相比,没有降低术后急性肾损伤的发生率.
    OBJECTIVE: To determine whether balanced solutions can reduce the incidence of acute kidney injury after off-pump coronary artery bypass surgery compared with saline.
    METHODS: Randomized controlled trial.
    METHODS: Single tertiary care center.
    METHODS: Patients who underwent off-pump coronary artery bypass surgery between June 2014 and July 2020.
    METHODS: Balanced solution-based chloride-restrictive intravenous fluid strategy.
    RESULTS: The primary outcome was acute kidney injury within 7 postoperative days, as defined by the 2012 Kidney Disease: Improving Global Outcomes Clinical Practice Guideline. The incidence of acute kidney injury was 4.4% (8/180) in the balanced group and 7.3% (13/178) in the saline group. The difference was not statistically significant (risk difference, -2.86%; 95% confidence interval [CI], -7.72% to 2.01%; risk ratio, 0.61, 95% CI, 0.26 to 1.43; p = 0.35). Compared with the balanced group, the saline group had higher levels of intraoperative serum chloride and lower base excess, which resulted in a lower pH.
    CONCLUSIONS: In patients undergoing off-pump bypass surgery with a normal estimated glomerular filtration rate, the intraoperative balanced solution-based chloride-restrictive intravenous fluid administration strategy did not decrease the rate of postoperative acute kidney injury compared with the saline-based chloride-liberal intravenous fluid administration strategy.
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