在线血液透析滤过治疗尿毒症患者急性左心衰竭58例次分析  

Online Hemodiafiltration on Uremic Patients with Acute Left Ventricular Failure Analysis of 58 Cases

作　　者：杨伟鹏[1] 许细惠[1] 李长青[1] 陈漫虹[1] 卢远征[1] 庄炜[1] 

机构地区：[1]广东省潮州市中心医院肾内科,广东潮州521000

出　　处：《中国医药指南》2012年第35期22-23,共2页Guide of China Medicine

摘　　要：目的探讨分析在线血液透析滤过(on line-HDF)治疗尿毒症患者急性左心衰竭的临床疗效及安全性。方法回顾性分析我院2011年1月至2012年8月41例尿毒症维持性血液透析患者58例次急性左心衰竭进行在线血液透析滤过治疗,观察患者治疗过程中出现的不良反应并统计患者治疗前后呼吸困难、电解质变化、心功能及KT/V情况,由此分析患者病情改善情况。结果所有41例患者心衰均得到纠正,心功能等级改善,呼吸困难等临床症状明显缓解,而且治疗过程中仅有2例患者出现后期的低血压反应。结论在线血液透析滤过治疗尿毒症患者急性左心衰竭临床疗效较为显著,而且安全性高,患者治疗依从性良好。Objective To investigate the clinical efficacy and safety of Online-HDF on uremic patients with acute left ventricular failure.Methods Retrospective from January 2011 to August 2012 41 cases of uremic hemodialysis patients 58 cases of acute left ventricular failure using onlineHDF,observed adverse reactions in course of treatment and Statistics breathing difficulties,electrolyte changes,heart function,and KT/V situation,and to analyze the patient＇s condition.Results All 41 patients with heart failure to be corrected,and the amelioration of the cardiac function improved to,breath difficulties and other clinical symptoms improved significantly,and in the course of treatment,only 2 patients had hypotension.Conclusion Online-HDF treating uremic patients with acute left ventricular failure has significant clinical efficacy and high safety,and basic clinical patients can tolerated.

关 键 词：血液透析滤过 尿毒症 急性左心衰竭 

分 类 号：R541.61[医药卫生—心血管疾病]