论文部分内容阅读
目的 :提高对血透患者合并肺部损害的认识 ,以能早发现并进行有效的处理 ,改善预后。方法 :对 74例血透患者并发肺部急症的临床资料进行回顾性分析。结果 :尿毒症血透患者肺部急症常见的并发症是肺水肿 ( 3 1例 ,发生率 41 9%) ,肺部感染 ( 2 5例 ,3 3 8%) ,肺出血 ( 10例 ,13 5 %) ,胸腔积液 ( 8例 ,10 8%) ,透析肺 ( 4例 ,5 4%)。针对不同病变 ,作相应的处理。结论 :对于尿毒症血透患者的肺部急症 ,在常规的血透基础上 ,及时对有关症状或并发症进行综合治疗 ,可取得较好的疗效 ,减少住院率 ,降低死亡率。
OBJECTIVE: To raise awareness of pulmonary damage in patients with hemodialysis to early detection and effective treatment to improve prognosis. Methods: The clinical data of 74 patients with hemodialysis complicated with acute lung disease were analyzed retrospectively. Results: The common complications of acute pulmonary complications in uremic hemodialysis patients were pulmonary edema (31 cases, 41 9%), pulmonary infection (25 cases, 338%), pulmonary hemorrhage (10 cases, 13 cases 5%), pleural effusion (8 cases, 108%) and dialysis lung (4 cases, 54%). For different lesions, for the appropriate treatment. Conclusion: For patients with uremia hemodialysis patients with acute lung disease, on the basis of conventional hemodialysis, the timely treatment of symptoms or complications can be achieved better efficacy, reduce hospitalization and reduce mortality.