尿毒症患者合并主动脉夹层的临床分析  

Clinical analysis of uremic patients with aortic dissection

作　　者：刘运华[1] 柳林伟[1] 鲁格平 文元龙[1] 

机构地区：[1]湖北省天门市第一人民医院肾内科,湖北天门431700

出　　处：《中国医学装备》2014年第B12期53-53,共1页China Medical Equipment

摘　　要：目的：探讨尿毒症维持性血液净化患者合并主动脉夹层的临床特点和处理。方法：收集2010年1月至2014年5月，我科收治尿毒症患者维持性血液净化合并主动脉夹层6例，并作分析。结果：5例血压控制在130～120／90～80mmHg，症状缓解，目前仍血液净化治疗过程中（3例血液透析，2例腹膜透析）。1例出现顽固性心力衰竭，4d只死亡。结论：尿毒症患者合并主动脉夹层与主动脉粥样硬化和高血压密切相关，内科药物治疗配合血液净化治疗，可安全有效控制病情。Objective： To analyze the clinical features of aortic dissection in maintenance hemodialysis patients and to explore it＇s treatments. Methods： The clinical data of 6 patients with maintenance hemodialysis complicated with aortic dissection were analyzed,which were selected in our department from January 2010 to May 2014.Results： The blood pressures of 3 cases were controled in 130-120/90-80mm Hg, symptoms were significantly improved, they were still receiving hemodialysis treatment （2 cases hemodialysis, 1 case of peritoneal dialysis）. 1 case wsa dead for intractable heart failure after four days. Conclusion： Uremic patients with aortic dissection are closely related to aortic atherosclerosis and hypertension. Appropriate internal medicine medications and strengthen blood purification can effectively control the condition duiring acute phase.

关 键 词：主动脉夹层 血液透析 腹膜透析 

分 类 号：R692.5[医药卫生—泌尿科学]