CAJ | 학술논문

目的：探讨维持性血液透析患者并发症低血压出现的原因及预防、治疗。方法对我院2011年1月至2012年12月收治的尿毒症患者维持性血液透析18200例次临床资料结果进行回顾性分析，透析过程中并发低血压3822例次。结果低血压发生率21%。结论低血压是维持型血液透析过程中常见的并发症，一旦出现，应积极抢救，即：回血，减慢血流量，停止血液透析；吸氧；改变体位；静脉推注生理盐水、高渗氯化钠、高渗葡萄糖水等；经积极抢救后，血压仍不升者，可给予升压药升压（如多巴胺）。大部分患者血压回升并完成血液透析。透析过程中，根据患者情况，调整脱水量和脱水速度；合理使用降血压药物；积极治疗肾性贫血和营养不良等，能减少透析中低血压的发生。
목적：탐토유지성혈액투석환자병발증저혈압출현적원인급예방、치료。방법대아원2011년1월지2012년12월수치적뇨독증환자유지성혈액투석18200례차림상자료결과진행회고성분석，투석과정중병발저혈압3822례차。결과저혈압발생솔21%。결론저혈압시유지형혈액투석과정중상견적병발증，일단출현，응적겁창구，즉：회혈，감만혈류량，정지혈액투석；흡양；개변체위；정맥추주생리염수、고삼록화납、고삼포도당수등；경적겁창구후，혈압잉불승자，가급여승압약승압（여다파알）。대부분환자혈압회승병완성혈액투석。투석과정중，근거환자정황，조정탈수량화탈수속도；합리사용강혈압약물；적겁치료신성빈혈화영양불량등，능감소투석중저혈압적발생。
Objective To investigate the complications of hemodialysis patients with hypotension Cause and prevention and treatment. Methods From January 2011-2012 in December uremic patients treated hemodialysis 18,200 cases of secondary clinical data were retrospectively analyzed during dialysis hypotension 3822 cases of concurrent times. Results The incidence of hypotension 21%. Conclusion is to maintain the type of hypotension during hemodialysis common complication occur, should be actively rescue, namely: the return of blood, blood flow slows down, stops hemodialysis; oxygen; changes in position;intravenous bolus saline, hypertonic chlorine sodium, hypertonic glucose water, etc.;been actively rescue, the blood pressure is still up, could be given vasopressor boost (such as dopamine). Most of the patients blood pressure rise and complete hemodialysis. Dialysis process, according to the patient's condition, adjusting the amount of dehydration and dehydration speed;rational use of antihypertensive medication;aggressive treatment of renal anemia and malnutrition, can reduce the incidence of hypotension.