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La patogénesis se basa en la falta de síntesis de bicarbonato sérico con la acumulación de ácidos de naturaleza orgánica e inorgánica, ocasionando daño tubulointersticial a través de la retención de amoniaco y el depósito de complemento, aunque esta última hipótesis se ha cuestionado en el pasado. El uso empírico de bicarbonato oral representa una opción terapéutica interesante que ha sido utilizada en estudios clínicos recientes. La disponibilidad de bicarbonato de sodio oral en sus diversas formas representa una opción barata y simple de utilizar para decelerar la progresión de la enfermedad renal, sin mencionar las mejoras en el catabolismo proteico, la osteodistrofia renal y la mortalidad.</p>" ] "en" => array:1 [ "resumen" => "<p class="elsevierStylePara">In the chronic kidney disease population metabolic acidosis is prevalent presenting already in the early stages of renal dysfunction. The pathogenesis associates the lack of bicarbonate production with the accumulation of organic/inorganic acids and the development of tubulointerstitial damage through ammonium retention and complement deposition. The empiric use of oral sodium bicarbonate represents an interesting therapeutic option that has been documented in a few clinical trials in human subjects. The availability of oral sodium, in its diverse forms, represents an inexpensive and simple way of treating an entity that could hasten the progression of kidney disease, as well as protein catabolism, bone disease and mortality.</p>" ] ] "bibliografia" => array:2 [ "titulo" => "Bibliografía" "seccion" => array:1 [ 0 => array:1 [ "bibliografiaReferencia" => array:45 [ 0 => array:3 [ "identificador" => "bib1" "etiqueta" => "1" "referencia" => array:1 [ 0 => array:3 [ "referenciaCompleta" => "Kraut JA, Kurtz I. Metabolic acidosis of CKD; diagnosis,clinical characteristics\u{A0}and treatment. 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año/Mes | Html | Total | |
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2024 Noviembre | 9 | 13 | 22 |
2024 Octubre | 102 | 38 | 140 |
2024 Septiembre | 94 | 35 | 129 |
2024 Agosto | 103 | 73 | 176 |
2024 Julio | 91 | 37 | 128 |
2024 Junio | 96 | 95 | 191 |
2024 Mayo | 78 | 49 | 127 |
2024 Abril | 88 | 57 | 145 |
2024 Marzo | 71 | 39 | 110 |
2024 Febrero | 72 | 44 | 116 |
2024 Enero | 59 | 29 | 88 |
2023 Diciembre | 69 | 59 | 128 |
2023 Noviembre | 90 | 40 | 130 |
2023 Octubre | 78 | 45 | 123 |
2023 Septiembre | 86 | 38 | 124 |
2023 Agosto | 98 | 33 | 131 |
2023 Julio | 99 | 48 | 147 |
2023 Junio | 109 | 27 | 136 |
2023 Mayo | 96 | 57 | 153 |
2023 Abril | 50 | 27 | 77 |
2023 Marzo | 87 | 37 | 124 |
2023 Febrero | 46 | 30 | 76 |
2023 Enero | 84 | 49 | 133 |
2022 Diciembre | 91 | 36 | 127 |
2022 Noviembre | 78 | 37 | 115 |
2022 Octubre | 140 | 55 | 195 |
2022 Septiembre | 108 | 66 | 174 |
2022 Agosto | 74 | 66 | 140 |
2022 Julio | 84 | 73 | 157 |
2022 Junio | 85 | 83 | 168 |
2022 Mayo | 107 | 71 | 178 |
2022 Abril | 101 | 68 | 169 |
2022 Marzo | 73 | 68 | 141 |
2022 Febrero | 113 | 60 | 173 |
2022 Enero | 116 | 74 | 190 |
2021 Diciembre | 53 | 75 | 128 |
2021 Noviembre | 111 | 70 | 181 |
2021 Octubre | 115 | 84 | 199 |
2021 Septiembre | 113 | 71 | 184 |
2021 Agosto | 114 | 71 | 185 |
2021 Julio | 78 | 47 | 125 |
2021 Junio | 103 | 44 | 147 |
2021 Mayo | 113 | 76 | 189 |
2021 Abril | 183 | 94 | 277 |
2021 Marzo | 210 | 63 | 273 |
2021 Febrero | 113 | 28 | 141 |
2021 Enero | 105 | 42 | 147 |
2020 Diciembre | 140 | 51 | 191 |
2020 Noviembre | 207 | 114 | 321 |
2020 Octubre | 214 | 110 | 324 |
2020 Septiembre | 247 | 104 | 351 |
2020 Agosto | 197 | 81 | 278 |
2020 Julio | 367 | 110 | 477 |
2020 Junio | 293 | 169 | 462 |
2020 Mayo | 439 | 202 | 641 |
2020 Abril | 486 | 194 | 680 |
2020 Marzo | 467 | 172 | 639 |
2020 Febrero | 477 | 197 | 674 |
2020 Enero | 605 | 196 | 801 |
2019 Diciembre | 604 | 159 | 763 |
2019 Noviembre | 869 | 271 | 1140 |
2019 Octubre | 533 | 308 | 841 |
2019 Septiembre | 817 | 290 | 1107 |
2019 Agosto | 639 | 247 | 886 |
2019 Julio | 592 | 204 | 796 |
2019 Junio | 622 | 259 | 881 |
2019 Mayo | 695 | 266 | 961 |
2019 Abril | 633 | 225 | 858 |
2019 Marzo | 367 | 195 | 562 |
2019 Febrero | 202 | 84 | 286 |
2019 Enero | 184 | 121 | 305 |
2018 Diciembre | 307 | 76 | 383 |
2018 Noviembre | 431 | 29 | 460 |
2018 Octubre | 404 | 20 | 424 |
2018 Septiembre | 312 | 23 | 335 |
2018 Agosto | 333 | 23 | 356 |
2018 Julio | 287 | 27 | 314 |
2018 Junio | 460 | 22 | 482 |
2018 Mayo | 523 | 26 | 549 |
2018 Abril | 291 | 15 | 306 |
2018 Marzo | 200 | 13 | 213 |
2018 Febrero | 122 | 8 | 130 |
2018 Enero | 91 | 14 | 105 |
2017 Diciembre | 108 | 12 | 120 |
2017 Noviembre | 98 | 18 | 116 |
2017 Octubre | 100 | 18 | 118 |
2017 Septiembre | 100 | 13 | 113 |
2017 Agosto | 96 | 14 | 110 |
2017 Julio | 90 | 15 | 105 |
2017 Junio | 121 | 18 | 139 |
2017 Mayo | 125 | 14 | 139 |
2017 Abril | 94 | 11 | 105 |
2017 Marzo | 62 | 7 | 69 |
2017 Febrero | 63 | 13 | 76 |
2017 Enero | 46 | 7 | 53 |
2016 Diciembre | 87 | 11 | 98 |
2016 Noviembre | 123 | 12 | 135 |
2016 Octubre | 138 | 13 | 151 |
2016 Septiembre | 195 | 12 | 207 |
2016 Agosto | 264 | 8 | 272 |
2016 Julio | 222 | 10 | 232 |
2016 Junio | 173 | 0 | 173 |
2016 Mayo | 159 | 0 | 159 |
2016 Abril | 159 | 0 | 159 |
2016 Marzo | 177 | 0 | 177 |
2016 Febrero | 200 | 0 | 200 |
2016 Enero | 171 | 0 | 171 |
2015 Diciembre | 191 | 0 | 191 |
2015 Noviembre | 161 | 0 | 161 |
2015 Octubre | 207 | 0 | 207 |
2015 Septiembre | 138 | 0 | 138 |
2015 Agosto | 183 | 0 | 183 |
2015 Julio | 181 | 0 | 181 |
2015 Junio | 149 | 0 | 149 |
2015 Mayo | 312 | 0 | 312 |
2015 Abril | 83 | 0 | 83 |
2015 Febrero | 3992 | 0 | 3992 |