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目的通过对32例透析患者脑出血的内科常规治疗加无肝素透析治疗的临床疗效观察,总结出该类患者的预防和治疗方法。方法对2009年以来4年中的32例透析脑出血患者通过内科吸氧、止血、降血压、脱水降颅内压、控制输液量等对症支持治疗,同时每周2～3次进行无肝素血液透析治疗。结果 32例患者16例死亡,存活率50%,存活者生活能自理,生存质量较好。结论透析患者并发脑出血通过积极的治疗,仍可有较好的预后,但平常的预防更重要。
Objective Through 32 cases of hemodialysis patients with intracerebral hemorrhage conventional treatment plus heparin-free dialysis treatment of clinical efficacy, summed up the prevention and treatment of such patients. Methods 32 cases of hemodialysis patients with hemodialysis during the past 4 years from 2009 through symptomatic supportive therapy such as oxygen inhalation, hemostasis, blood pressure reduction, dehydration and intracranial pressure control, and infusion volume control. Meanwhile, heparin-free blood was administered 2 to 3 times a week Dialysis treatment. Results 32 patients died of 16 cases, the survival rate of 50%, survivors can take care of themselves, better quality of life. Conclusion Dialysis patients with intracerebral hemorrhage through active treatment may still have a better prognosis, but the more common prevention is more important.