摘要
目的探讨维持性血液透析患者发生急性左心衰的原因,总结抢救的措施及分析后续综合防治的对策。方法 82例维持性血液透析患者进行23637次血液透析,分析透析间期出现急性左心衰22例患者(43例次)的抢救及后续综合治疗。结果 22例(43例次)急性左心衰经紧急血液透析治疗,症状和体征均明显好转。结论血液透析患者发生急性左心衰竭原因复杂,容量负荷过重,高血压、重度贫血、肺部感染是最常见的诱因。紧急血液透析、超滤脱水和综合抢救措施,是最重要的治疗手段。充分透析和透析间期控制体质量、稳定血压、纠正贫血、防治肺部感染等是预防急性左心衰的重要措施。
Objective To discuss the main reason of acute heart failure occurrence for maintenance hemodialysis＇s patients, to summarize the urgent treatment measures, to analysis of comprehensive prevention and treatment means. Methods Retrospective analysis of emergent treatment and the post -treatment of acute left heart failure, 22 cases （43 times） among of 82 patients （23637times） of maintenance hemodialysis. Results The acute heart failure patients of 22 cases （43 times） had got better in both symptom and sign obviously by taking urgent hemodialysis method. Conclusion The reason to occur the acute left heart failure for dialysis patients is complicated, the most frequent inducements are hypertension, severe anaemia, lung infection. The emergence hemodialysis and ultrafihration dehydrate.
出处
《实用心脑肺血管病杂志》
2011年第1期88-89,共2页
Practical Journal of Cardiac Cerebral Pneumal and Vascular Disease
关键词
血液透析
左心衰竭
原因
Hemodialysis
Left heart failure
Cause
