摘要
血液透析中低血压是维持性血液净化患者常见并发症之一,发生机制复杂,预防和治疗亦较为困难,严重影响了透析患者的生存质量和生存率。为提高对血液透析中低血压的认识,规范其诊断与防治,中国医药教育协会肾病与血液净化专业委员会血液透析低血压防治专家组基于目前临床研究结果,经过多次讨论修改,制定了《血液透析中低血压防治专家共识》,内容包括血液透析中低血压发生的机制、诊断标准、临床管理及防治流程。共识形成后计划每5年进行一次修订,并在适当的时机升级为指南。
Intradialytic hypotension(IDH)is a common complication among maintenence hemodialysis patients.It seriously impacts the mortality of maintenance hemodialysis(MHD)patients.There are complicated mechanisms behind,therefore the prevention and treatment of IDH is challenging.To improve the understanding and attention of clinicians towards IDH,to standardize it′s diagnosis,prevention and treatment,Expert Working Group from Renal and Blood Purification Committee,Chinese Medicine Education Society initiated this consensus based on evidence base approach.After several round table meetings and revision,the consensus which covers the mechanism,diagnosis,clinical management,prevention and treatment of IDH was concluded.
作者
中国医药教育协会肾病与血液净化专业委员会血液透析低血压防治专家组
李文歌
林洪丽
陆海涛
王楠
Intradialytic Hypotension Prevention and Treatment Expert Working Group,Renal and Blood Purification Committee,Chinese Medicine Education Society;Li Wenge;Lin Hongli(不详;Department of Nephrology,China-Japan Friendship Hospital,Beijing 100029,China;Department of Nephrology,the First Affiliated Hospital of Dalian Medical University,Dalian 116011,China)
出处
《中华内科杂志》
CAS
CSCD
北大核心
2022年第3期269-281,共13页
Chinese Journal of Internal Medicine
关键词
血液透析
低血压
共识
Hemodialysis
Hypotension
Consensus
