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老年患者血液透析中急性并发症原因分析 被引量:1

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摘要 目的:对老年患者血液透析中出现的急性并发症进行分析。方法:将我院维持性血液透析的患者按年龄分为老年组(≥6 5岁)及非老年组(<6 5岁) ,比较两组原发病因、脏器功能情况及各种急性并发症的发生率。结果:老年组低血压、心律失常、抽搐的发生率明显高于非老年组(P <0 .0 1 ) ,高血压的发生率两组无明显差异。老年组合并冠心病、心包积液、充血性心力衰竭的情况高于非老年组。结论:老年患者血液透析过程中容易出现血压异常、心律失常、抽搐,在老年患者自主神经功能紊乱及合并心血管病变的基础上超滤除水过多血容量下降可出现低血压;肾素释放失调可导致高血压;抽搐的发生是由于老年患者钙代谢的“负钙平衡”及碳酸氢盐透析纠正酸中毒后游离钙减少所致。
作者 范焕新
机构地区 新泰市人民医院
出处 《实用医技杂志》 2004年第12B期2695-2696,共2页 Journal of Practical Medical Techniques
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