老年患者血液透析间期并发急性左心衰竭的因素分析

Analysis of acute heart failure in hemofiltration in the elderly

目的:探讨血液透析患者发生急性左心衰竭有关临床因素。方法:43例血液透析(血透)慢性肾功能衰竭患者并发急性左心衰24例(Ⅰ组),血透当中未并发急性左心衰竭19例(Ⅱ组);测定两组年龄、收缩压(SBP)、舒张压(DBP)血色素(Hb)、体重、超滤量等有关因素。结果:Ⅰ组及Ⅱ组之间血压、体重及超滤量有显著差异(P< 0. 05) 。结论:高血压,体重增加,超滤量低时较易发生急性左心衰。

Objective： To investigate correlated clinical factors of acute left heart failure （ALHF） in hemofiltration（HF） in the elderly. Methods： The data of 43 patients with chronic renal failure treated by HF complicated acute heart failure （group Ⅰ , 24 cases） or without ALHF （group Ⅱ , 21 cases） were analyzed. The age, systolic blood pressure,diastolic blood pressure, hemoglobin, blood urea nitrogen, weight, ultrafiltration （UF） volume between two groups were compared. Results： The blood pressure, weight increased and UF volume decreased in group Ⅰ compared with group Ⅱ （P〈0. 05）. Conclusion： Hypertension, body weight gain, low ultrafiltration are apt to induce acute heart failure.