血液透析患者并发肺动脉高压相关因素的分析

Analysis on the related factors of pulmonary hypertension in hemodialysis patients

目的:探讨血液透析患者并发肺动脉高压的相关因素。方法:收治长期维持性血液透析患者98例,回顾性分析其临床资料。结果:经心脏超声检查,并发肺动脉高压35例,并发组患者的肺动脉收缩压、透析间期体重的增加量和动静脉内瘘口直径均明显高于无并发组(P<0.05)。结论:血液透析患者中并发肺动脉高压较为常见,透析期间体重增加量过多和大口径的动静脉内瘘是肺动脉高压发生的相关危险因素。

Objective:To investigate the related factors of pulmonary hypertension in hemodialysis patients.Methods:98patients with long-term maintenance hemodialysis were selected,then their clinical data were analyzed retrospectively.Results:35cases of pulmonary hypertension were detected by echocardiography,and the systolic pressure of pulmonary artery,the increase of weight during the interval and the diameter of the arteriovenous fistula in the complicated group were significantly higher than those in the non concurrent group(P<0.05).Conclusion:Pulmonary hypertension is common in patients with hemodialysis,excessive weight gain during dialysis period and a large caliber arteriovenous fistula are related risk factors for pulmonary hypertension.