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本文分析了30例血液透析病人的死亡原因:慢性心力衰竭15例,占50%;感染6例,占20%;猝死5例,占16.6%;脑出血4例,占13.3%,显示心脑血管并发症,尤其是慢性心功能不全是维持性血液透析病人最常见的死亡原因。维持性血液透析病人的病因较复杂,常合并其他心脏病及水钠潴流、高血压,并伴贫血、酸中毒、电解质紊乱、感染、继发甲旁亢等。单靠透析不能全面改善此类病人的心功能状况,以致心衰逐渐加重致死亡。这类病人的治疗除应在透析期间严格控制水量,充分超滤脱水外,还要注意纠正引起心衰的其他因素,尤应控制血压、改善贫血。
Thirty cases of hemodialysis patients were analyzed for the causes of death: 15 cases of chronic heart failure, accounting for 50%; 6 cases of infection, accounting for 20%; 5 cases of sudden death, accounting for 16.6%; 4 cases of cerebral hemorrhage, accounting for 13.3% Vascular complications, especially chronic heart failure, are the most common causes of death in maintenance hemodialysis patients. The causes of maintenance hemodialysis patients more complicated, often associated with other heart disease and Shuinazhuling flow, hypertension, and with anemia, acidosis, electrolyte disorders, infection, secondary hyperparathyroidism. Dialysis alone can not improve the cardiac function of these patients in an all-round way, resulting in a gradual increase in heart failure leading to death. In addition to the treatment of such patients should be strictly controlled during dialysis water volume, full of ultrafiltration dehydration, but also pay attention to correct other factors that cause heart failure, especially blood pressure should be controlled to improve anemia.