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目的:分析探讨终末期慢性肾衰竭(CRF)并急性左心衰的发病机制及救治措施。方法:对36例各种原因所致的终末期CRF患者并急性左心衰采用药物控制血压,降低外周血管阻力,减轻心脏后负荷及采用血液透析等方法,减轻心脏前负荷,控制心衰。结果:36例患者2 286次来院救治并发急性左心衰1 144次,抢救成功1 138次,成功率99.5%。结论:终末期CRF并急性左心衰据发病机理不同,给予不同处理,关键是尽快控制血压,脱水,降低外周血管阻力和控制血容量,降低心输出量。
Objective: To analyze the pathogenesis and treatment of end-stage chronic renal failure (CRF) and acute left heart failure. Methods: Thirty-six patients with end-stage CRF caused by various causes and acute left heart failure were treated with drugs to control blood pressure, reduce peripheral vascular resistance, reduce post-cardiac load, and use hemodialysis to reduce pre-cardiac load and control heart failure. Results: Twenty - six patients were hospitalized for 1 286 times and suffered acute left heart failure 1 144 times. The successful rescue was 1 138 times, with a success rate of 99.5%. Conclusion: The pathogenesis of end-stage CRF and acute left heart failure is different. Given different treatments, the key is to control blood pressure, dehydrate, reduce peripheral vascular resistance, control blood volume and decrease cardiac output as soon as possible.