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目的 :分析尿毒症患者行维持性血液透析死亡的原因 ,目的在降低其病死率。方法 :对 32 7例尿毒症患者中 45例死亡病例进行回顾性总结、分析。结果 :最主要的死因依次为心脑血管并发症 2 5例 (5 6 % ) ,全身衰竭 5例 (11% ) ,肺部感染、败血症 7例 (16 % ) ,三者总死亡人数为 37例 (83% )。结论 :尿毒症患者行维持性血液透析多死于合并症 ,而这些合并症均由于透析时间过晚 ,透析不充分致全身各主要脏器受损严重 ,营养不良和抵抗力低下所致。
OBJECTIVE: To analyze the causes of death from maintenance hemodialysis in patients with uremia and to reduce their mortality. Methods: A total of 45 deaths from 327 patients with uremia were retrospectively analyzed and analyzed. Results: The main causes of death were 25 cases (56%) of cardiovascular and cerebrovascular complications, 5 cases (11%) of systemic failure, 7 cases of pulmonary infection and septicemia (16%), and the total death toll was 37 Example (83%). Conclusion: Patients with uremia often die of complications due to maintenance hemodialysis. However, these complications are due to the late dialysis time, inadequate dialysis, serious damage to the main organs of the whole body, malnutrition and low immunity.