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目的探讨尿毒症血液透析治疗患者并发急性左心功能衰竭(Acute left ventricular failure,ALVF)临床特点及有效疗法。方法对我院近期收治的36例尿毒症血液透析治疗并发ALVF患者进行回顾性分析。对患者治疗前后临床症状、血压、呼吸频率、血氧饱和度等指标进行比较。结果尿毒症血液透析并发ALVF患者经强心、利尿、镇静治疗后,其血压、心率、呼吸、血氧饱和度以及肌酐情况均较治疗前明显改善(P<0.05);本组患者随访2月死亡3例,死亡率为8.3%。结论临床应密切观察尿毒症血液透析患者临床生命体征变化情况,尤其是具有并发ALVF高危因素患者,应引起高度重视,及早发现病情并采取有效抢救治疗措施,保障患者生命安全。
Objective To investigate the clinical features and effective treatment of acute left ventricular failure (ALVF) in patients with uremia hemodialysis. Methods A retrospective analysis was performed on 36 cases of uremic hemodialysis patients complicated with ALVF admitted to our hospital recently. Before and after treatment of patients with clinical symptoms, blood pressure, respiratory rate, oxygen saturation and other indicators were compared. Results The blood pressure, heart rate, respiration, oxygen saturation and creatinine were significantly improved in patients with uremia hemodialysis complicated with ALVF after cardiac, diuretic and sedation (P <0.05). The patients were followed up for 2 months 3 died, the mortality rate was 8.3%. Conclusions Clinical changes of clinical vital signs in uremic hemodialysis patients should be closely observed. Especially in patients with high risk of ALVF, great attention should be paid to early detection of the disease and effective rescue and treatment measures should be taken to ensure the patient’s life safety.