论文部分内容阅读
目的探讨慢性肾衰竭患者在进行维持性血液透析治疗过程中出现的心律失常的预防和治疗措施。方法回顾分析78例慢性肾衰竭患者采用维持性血液透析治疗期间出现心律失常症状的概率、类型以及患者发病时的血钾情况。结果 78例患者在3766次血液透析过程中共发生心律失常876例次(23.3%);其中室上性心动过速发生率27.9%,频发房性期前收缩占23.3%,窦性心动过缓及阵发性心房纤颤发生率分别为15.9%和14.7%。结论慢性肾衰患者血透过程中伴发心律失常类型多样,需要在治疗过程中对患者进行严密观察,尤其是血透3小时到血透结束前后的高危发生期。针对患者的不同心律失常类型,采取相应的治疗和预防对策,降低心律失常发生率,可提高患者生存质量。
Objective To investigate the prevention and treatment of arrhythmia in patients with chronic renal failure during maintenance hemodialysis. Methods A retrospective analysis of 78 patients with chronic renal failure patients treated with maintenance hemodialysis during the occurrence of arrhythmia symptoms, type and incidence of potassium in patients with the situation. Results A total of 876 cases (23.3%) of arrhythmia occurred during 3766 hemodialysis events in 78 patients. Among them, the incidence of supraventricular tachycardia was 27.9%, frequent atrial systole was 23.3%, sinus bradycardia And the incidence of paroxysmal atrial fibrillation were 15.9% and 14.7%. Conclusion There are many types of arrhythmia associated with hemodialysis in patients with chronic renal failure. Patients should be closely observed during the course of treatment, especially at high risk of hemodialysis from 3 hours to the end of hemodialysis. Different types of patients for arrhythmia, take appropriate treatment and prevention strategies to reduce the incidence of arrhythmia, can improve the quality of life of patients.