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目的分析探讨慢性肾衰竭患者合并急性心力衰竭的临床特征,为慢性肾衰竭合并急性心力衰竭患者的治疗提供理论支持和科学指导。方法对25例慢性肾衰竭合并急性心力衰竭患者的临床资料进行回顾性分析,对其临床特征、危险因素、发病机制进行总结分析,并对其治疗方法以及如何预防进行研究探讨。结果 25例患者共抢救38次,成功抢救次数为36次,抢救成功率为94.74%;经过治疗后,大多数的临床症状得以明显减轻。结论在临床上,慢性肾衰竭合并急性心力衰竭的发生大多是由于血液透析不充分、高血压控制不良、贫血、代谢性酸中毒和高钾血症等危险因素,对慢性肾衰竭合并急性心力衰竭患者进行治疗时,应该详细了解患者的身体状况以及发病机制,针对性的进行治疗,能提高治疗的效果,同时,要对慢性肾衰竭合并急性心力衰竭进行预防,纠正诱导其发病的危险因素,减少慢性肾衰竭合并急性心力衰竭的发生。
Objective To analyze the clinical features of patients with chronic renal failure complicated with acute heart failure and provide theoretical support and scientific guidance for the treatment of patients with chronic renal failure complicated with acute heart failure. Methods The clinical data of 25 patients with chronic renal failure and acute heart failure were retrospectively analyzed. The clinical features, risk factors and pathogenesis were analyzed retrospectively. The treatment and prevention were also discussed. Results A total of 38 patients were rescued 38 times, the number of successful rescue was 36 times, the success rate of rescue was 94.74%; after treatment, most of the clinical symptoms were significantly reduced. Conclusions Clinically, the occurrence of chronic renal failure complicated with acute heart failure is mostly due to inadequate hemodialysis, poor control of hypertension, anemia, metabolic acidosis and hyperkalemia and other risk factors for chronic renal failure combined with acute heart failure Patients should be treated in detail, should understand the patient’s physical condition and pathogenesis, targeted treatment, can improve the treatment effect, at the same time, to chronic renal failure combined with acute heart failure prevention, to correct the risk of inducing its risk factors, Reduce the occurrence of chronic renal failure combined with acute heart failure.