CAJ | 학술논문

目的分析维持性透析患者血液透析过程中发生低血压的原因及预防措施.方法回顾性分析了河南省郸城县人民医院透析科2008年1月至2009年1月终末期肾脏病患者164例次(16例)发生透析相关性低血压的临床资料.结果 16例患者(164例次)在透析相关性低血压中单次超滤量超过干体重5%的患者共发生透析相关性低血压118例次(72.0%);单次超滤量<5%的患者发生透析相关性低血压46例次(28.0%);60岁以上的老年透析患者共发生透析相关性低血压93例次(56.7%),60岁以下的老年透析患者共发生透析相关性低血压71例次(43.3%).结论透析间期容量负荷增长过多及高龄是发生透析相关性低血压的主要原因.控制容量负荷有可能减少透析相关性低血压的发生.
목적 분석유지성투석환자혈액투석과정중발생저혈압적원인급예방조시.방법 회고성분석료하남성단성현인민의원투석과2008년1월지2009년1월종말기신장병환자164례차(16례)발생투석상관성저혈압적림상자료.결과 16례환자(164례차)재투석상관성저혈압중단차초려량초과간체중5%적환자공발생투석상관성저혈압118례차(72.0%);단차초려량<5%적환자발생투석상관성저혈압46례차(28.0%);60세이상적노년투석환자공발생투석상관성저혈압93례차(56.7%),60세이하적노년투석환자공발생투석상관성저혈압71례차(43.3%).결론 투석간기용량부하증장과다급고령시발생투석상관성저혈압적주요원인.공제용량부하유가능감소투석상관성저혈압적발생.
Objective To analyse the cause and precautionary measures of hypoteasion during the hemodialysis in patients with end stage renal disease (ESRD) .Methods A cohort of 16 ESRD patients with 164 hemodialysis related hypoteasion in the People's hospital of Dancheng country during January, 2008 to January, 2009 were studied. The clinical data were collected. Results Among the 16 ESRD patients with 164 hemodialysis related hypotension, 118 hypotension was more uhrafiltration, whose ultrafihration was over 5% dry weight, the prevalence was 72.0%. 93 hypotension during hemodialysis was normal ultrafiltration, whose ultrafiltration was less 5% dry weight, the prevalence was 28.0%. 93 hemodialysis related hypotension were in old patients whose age were more than 60 years old, the prevalence was 56.7%. 71 he-modialysis related hypotension were in patients whose age were less than 60 years old, the prevalence was 43.3 %. Conclusions Volume overload and eld were the main causes of hemodialysis related hypotension. So volume control maybe reduce the prevalence of hypotension during hemodialysis.