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目的探讨老年腹膜透析并发急性左心衰的特点。方法对26例老年腹膜透析并发急性左心衰进行回顾性分析。结果容量负荷过重、高血压是急性左心衰的主要原因,改为间歇性腹透(IPD)或临时血液透析后,18例心衰得到纠正,8例死亡。结论调整透析方案、增加超滤脱水是治疗的关键。
Objective To investigate the characteristics of elderly patients with acute left heart failure complicated by peritoneal dialysis. Methods 26 cases of elderly peritoneal dialysis complicated by acute left heart failure were retrospectively analyzed. Results Capacity overload, hypertension is the main cause of acute left heart failure, to intermittent dialysis (IPD) or temporary hemodialysis, 18 cases of heart failure was corrected, 8 patients died. Conclusion Adjusting the dialysis program to increase the ultrafiltration dehydration is the key to treatment.