血液透析间期心力衰竭的危险因素分析  

Risk Factors for Heartfailure in Hemodialysis

作　　者：关晓东[1] 吴宇芳[2] 赵文[1] 张晓明[3] 李光绍[4] 

机构地区：[1]广东省东莞东华医院肾内科,523013 [2]广东省东莞东华医院检验科 [3]广东省东莞东华医院血透中心 [4]广东省东莞东华医院心内科

出　　处：《中国误诊学杂志》2002年第6期848-849,共2页Chinese Journal of Misdiagnostics

摘　　要：目的　分析血液透析 (HD)间期心力衰竭 (Heartfailure,HF)的危险因素。方法　对 76例维持性 HD患者于 HD间期发生 HF进行回顾性分析。结果　 76例维持性 HD患者于 936 0例次 HD间期中发生 HF 2 16例次 (2 .30 % ) ,主要危险因素依次是透析不充分 (42 .15 % ) ,感染 (40 .12 % ) ;高血压控制不良 (36 .0 5 % ) ,贫血未纠正 (2 7.6 2 % ) ,水钠未控 (12 .79% )。结论　透析不充分、感染、高血压控制不良、贫血未纠正、水钠未控等因素 ,是诱发 HD间期 HF的常见危险因素 。Objective To analyze the risk factors for heartfailure (HF) in hemodialysis.Methods To analyse 76 patients with maintenance hemodialysis who induced HF in hemodialysis.Results The incidence of HF in hemodialysis was 2.30% (216/9360). The major risk factors successively were incomplete hemodialysis,infection,blood pressure uncontrol,severe anemia and water sodium overload.Conclusion The factors of incomplete hemodialysis,infection,blood pressure uncontrol,severe anemia,water sodium overload can induce HF in hemodialysis.It should be correct.

关 键 词：血液透析 心力衰竭 危险因素 HF 

分 类 号：R541.6[医药卫生—心血管疾病] R459.5[医药卫生—内科学]