尿毒症并发心力衰竭21例临床分析

Uremia complicated with heartfailure: clinical analysis of 21 cases

目的 探讨尿毒症并发心力衰竭的机制及诊治方法。方法 对 1 998年 1月～ 2 0 0 3年 1 1月尿毒症并发心力衰竭病人的临床资料进行分析。结果 1 3例病人经强心、利尿、扩血管、降压及纠正电解质、酸碱平衡紊乱后心功能有不同程度改善 ;另外8例上述治疗无效 ,经予血液透析治疗后 ,心功能明显改善。结论 尿毒症并发心力衰竭的发生率较高 ,治疗的关键是去除病因和诱因 ,预防心力衰竭的发生 。

AIM To evaluate mechanism, special diagnosis and treatment of the uremia complicated with heartfailure. METHODS To analyze the patients' clinical data of 21 cases with the uremia complicated with heartfailure from January 1998 to November 2003. RESULTS After the treatment including cardiac, diuresis,enlarging blood vessel, descending blood pressure and correcting electrolyte acid alkali turbulance, 13 cases hearts'function achieve improvement of various degree and the rest 8 cases are invalid. After giving hemodialysis, their hearts' function improved evidently. CONCLUSION The rate of uremia complicated with heartfailure's occurring is relatively high. The key of the treatment is eliminating the causes and the inducements, preventing the occurring of heartfailure, and abounding hemodialysis in early stage