维持性血液透析患者并发脑出血的临床研究

Clinical study of cerebral thrombosis in maintenance dialysis patients

目的探讨维持性血液透析并发脑出血的临床特点。方法将24例维持性血液透析并发脑出血的患者进行临床观察、分析。结果24例脑出血患者中5例好转,1例自动出院,18例死亡,病死率75%;高龄透析患者及糖尿病肾病透析患者脑出血发生率明显升高;24例脑出血患者透析病程中23例有高血压;存活患者多伴有不同程度的后遗症。结论加强维持性血液透析患者脑出血并发症的研究与认识,减少脑出血的发生率,对提高维持性血液透析患者的生活质量和长期存活率具有重要意义。

[Objective] To study the clinical characters and risk factors of cerebral thrombosis in maintenance dialysis patients. [Methods] The 24 dialysis patients with cerebral thrombosis were observed and analyzed. [Results] 5 patients of the 24 dialysis patients with cerebral thrombosis improved, 1 patient left hospital voluntarily, 18 patients died. The death rate was 75%; The incident of cerebral thrombosis was highly increased in aged dialysis patients and diabetes patients; 23 patients of the 24 dialysis patients with cerebral thrombosis suffered hypertension in the course; Variant degrees of sequelae were seen among survival patients. [Conclusions] Following the increasing number of aged dialysis patients and diabetes patients, the incidence of cerebral thrombosis was increased; hypertension is the important risk factor to maintenance dialysis patients with cerebral thrombosis. It is important to strengthen the study and realization of cerebral thrombosis in dialysis patients, reduce the morbidity of cerebral thrombosis, in order to improve survival rate of maintenance dialysis patients.