心力衰竭合并慢性肾脏病的诊治策略  

Strategies for the diagnosis and treatment of heart failure combined with chronic kidney disease

作　　者：贾沁洁 刘德敏[1] 崔炜[1] Jia Qinjie;Liu Demin;Cui Wei(First Division,Department of Cardiology,The Second Hospital of Hebei Medical University and Institute of Cardiocerebrovascular Disease of Hebei Province,Shijiazhuang 050000,China)

机构地区：[1]河北医科大学第二医院、河北省心脑血管病研究所、心内一科,石家庄050000

出　　处：《中华心力衰竭和心肌病杂志（中英文）》2024年第1期66-70,共5页Chinese Journal of Heart Failure and Cardiomyopathy

摘　　要：慢性肾脏病(CKD)在心力衰竭(心衰)患者中普遍存在,当心衰患者合并CKD时,诊断心衰的通用标准将不再适用,后续的病情评估与治疗也将受到诸多限制,且这类患者往往预后不佳。本文对CKD与心衰之间的共同发病机制、相互作用,以及合并CKD的心衰患者的诊断、治疗进行综述。Chronic kidney disease(CKD)is prevalent in patients with heart failure(HF).When the HF patients have CKD,the general criteria for the diagnosis of HF will no longer be applicable,subsequent disease evaluation and treatment will also be limited,and such patients often have poor prognosis.This review summarizes the common pathogenesis and interaction of CKD and HF,and the diagnosis and treatment of HF patients combined with CKD.

关 键 词：心力衰竭 慢性肾脏病 诊断 治疗 

分 类 号：R541.6[医药卫生—心血管疾病] R692[医药卫生—内科学]