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心衰是尿毒症的常见并发症,而且是尿毒症患者的首要死因。自从透析技术应用于临床,使一些经过保守治疗无效的尿毒症合并心衰的患得有了很大改观。我院自1987年—1997年共进行血液透析(HD)治疗尿毒症患者54例,其中30例并发左心衰82例次。本文对HD治疗尿毒症合并左心衰患者进行临床分析。报告如下。1 资料与方法1.1 资料 30例患者中,男23例,女7例;年龄21～64岁。原发病慢性肾炎24例,慢性肾盂肾炎2例,肾动脉硬化2例,紫癜性肾炎1例,肾结石1例。引起心衰的因素有水钠潴留45例次,高血压26例次,
Heart failure is a common complication of uremia, and is the leading cause of death in uremic patients. Since dialysis has been used clinically, there has been a dramatic change in the incidence of some uremic symptoms associated with failure of conservative treatment. Our hospital from 1987 to 1997 a total of 54 cases of hemodialysis (HD) treatment of uremic patients, of which 30 cases of 82 cases of left heart failure complicated. In this paper, HD treatment of uremic patients with left heart failure clinical analysis. The report is as follows. 1 Materials and Methods 1.1 Materials 30 patients, 23 males and 7 females; aged 21 to 64 years. 24 cases of primary chronic nephritis, chronic pyelonephritis in 2 cases, 2 cases of renal arteriosclerosis, purpura nephritis in 1 case, 1 case of kidney stones. The factors that cause heart failure, sodium and water retention in 45 cases, 26 cases of hypertension,