腹膜透析并发心力衰竭40例临床分析  

The analysis in 40 peritoneal dialysis petients complicated with heart failure

作　　者：于晓艳[1] 马增伟[1] 赵宇[1] 庞磊[1] 施莹[1] 谷宝华[1] 李新[1] 

机构地区：[1]齐齐哈尔医学院附属三院肾内科,黑龙江齐齐哈尔161000

出　　处：《中国急救医学》2012年第6期539-541,共3页Chinese Journal of Critical Care Medicine

摘　　要：目的分析腹膜透析并发心力衰竭40例患者的临床特点。方法回顾性分析我院2007-01-2011-12住院治疗的腹膜透析并发心力衰竭患者40例，比较其治疗前后尿量、超滤量、血红蛋白、白蛋白、超敏C-反应蛋白；心脏超声主要观察射血分数、左室后壁及室间隔厚度的指标。结果治疗前后患者的超滤量、白蛋白、超敏C-反应蛋白之间比较差异有统计学意义（P〈0．05），尿量、血红蛋白之间比较差异无统计学意义（P〉0．05）。结论容量负荷重，血压控制不佳及感染是腹膜透析并发心力衰竭的主要原因，贫血、营养不良也是影响患者发生心力衰竭的因素，积极控制血压，预防感染，是防止腹膜透析患者出现心力衰竭的有效措施。Objective Analysis of peritoneal dialysis complicated with heart failure in 40 cases of patients with clinical characteristics. Methods A retrospective analysis of our hospital in 2007 January to 2011 December hospitalization peritoneal dialysis complicated with heart failure in 40 cases, Comparison of before and after the treatment of urine volume, ultrafiltration volume, hemoglobin, albumin, C reactive protein, cardiac ultrasound mainly observed in ejection fraction, LVPW and septal thickness indicator. Results Before and after treatment in patients with ultrafihration volume, albumin, C reactive protein had statistical difference （P 〈 0. 05 ）, Urine volume, LVPW, hemoglobin no statistical difference between the groups （P 〉 0.05 ）. Urine volume, hemoglobin no statistical difference between the groups （ P 〉 0.05 ）. Conclusion Capacity load, poor control of blood pressure and infection in peritoneal dialysis complicated with heart failure is the main reason, Anemia, malnutrition is also occurs in patients with heart failure influence factors. Aggressive control of blood pressure, prevention of infection, is to prevent peritoneal dialysis patients of heart failure of effective measures.

关 键 词：腹膜透析 心力衰竭 C-反应蛋白(CRP) 

分 类 号：R541[医药卫生—心血管疾病]