45例尿毒症患者血液透析死亡原因分析

Analyzing the Cause of 45 Patients with Uraemia Died of Hemodialysis

目的 :分析尿毒症患者行维持性血液透析死亡的原因 ,目的在降低其病死率。方法 :对 32 7例尿毒症患者中 45例死亡病例进行回顾性总结、分析。结果 :最主要的死因依次为心脑血管并发症 2 5例 (5 6 % ) ,全身衰竭 5例 (11% ) ,肺部感染、败血症 7例 (16 % ) ,三者总死亡人数为 37例 (83% )。结论 :尿毒症患者行维持性血液透析多死于合并症 ,而这些合并症均由于透析时间过晚 ,透析不充分致全身各主要脏器受损严重 ,营养不良和抵抗力低下所致。

Objective Analyzing the cause of that the patients with uracmia died of hemodialysis to reduce the rate of death. Method 45 death cases selected among 327 patients with uraemia were retrospectively summarized and analyzed. Results The main cleath causes in proper order were 25 cases of heart and brain compliation (56%), 5 cases of allover failure (11%),7 cases of lungs infected and septicemia (16%). The total of death cases was 36 (80%). Conclusions The patients with uraemia treated by preserving hemodialysis mostly died of complications, and these complications were all due to that the time of hemodialisis was too late, hemodialysis was not abundant so as to cause the main organs of the body injured seriously, being short of nutrition and lower immunity.