CAJ | 학술논문

目的探讨分析在线血液透析滤过(on line-HDF)治疗尿毒症患者急性左心衰竭的临床疗效及安全性.方法回顾性分析我院2011年1月至2012年8月41例尿毒症维持性血液透析患者58例次急性左心衰竭进行在线血液透析滤过治疗,观察患者治疗过程中出现的不良反应并统计患者治疗前后呼吸困难、电解质变化、心功能及 KT/V 情况,由此分析患者病情改善情况.结果所有41例患者心衰均得到纠正,心功能等级改善,呼吸困难等临床症状明显缓解,而且治疗过程中仅有2例患者出现后期的低血压反应.结论在线血液透析滤过治疗尿毒症患者急性左心衰竭临床疗效较为显著,而且安全性高,患者治疗依从性良好.
목적탐토분석재선혈액투석려과(on line-HDF)치료뇨독증환자급성좌심쇠갈적림상료효급안전성.방법회고성분석아원2011년1월지2012년8월41례뇨독증유지성혈액투석환자58례차급성좌심쇠갈진행재선혈액투석려과치료,관찰환자치료과정중출현적불량반응병통계환자치료전후호흡곤난、전해질변화、심공능급 KT/V 정황,유차분석환자병정개선정황.결과소유41례환자심쇠균득도규정,심공능등급개선,호흡곤난등림상증상명현완해,이차치료과정중부유2례환자출현후기적저혈압반응.결론재선혈액투석려과치료뇨독증환자급성좌심쇠갈림상료효교위현저,이차안전성고,환자치료의종성량호.
Objective To investigate the clinical efficacy and safety of Online-HDF on uremic patients with acute left ventricular failure. Methods Retrospective from January 2011 to August 2012 41 cases of uremic hemodialysis patients 58 cases of acute left ventricular failure using online-HDF, observed adverse reactions in course of treatment and Statistics breathing difficulties, electrolyte changes, heart function, and KT/V situation, and to analyze the patient's condition. Results All 41 patients with heart failure to be corrected, and the amelioration of the cardiac function improved to, breath difficulties and other clinical symptoms improved significantly, and in the course of treatment, only 2 patients had hypotension. Conclusion Online-HDF treating uremic patients with acute left ventricular failure has significant clinical efficacy and high safety, and basic clinical patients can tolerated.