摘要
目的探讨危重型肾综合征出血热并急性肾衰患者行血液透析后的死亡原因及防治对策。方法对148例危重型肾综合征出血热并急性肾衰患者行血液透析和药物等综合治疗,统计死亡比例,观察分析死亡原因。结果死亡24例(占16％)。死因主要是:消化道出血9例,占37.5％;肺部感染6例,占25％;心衰肺水肿3例,占12.5％;脑水肿、尿毒症、败血症各2例,各占8.3％。结论早期血液透析是降低死亡率的关键,积极防治消化道出血、感染、心衰肺水肿、脑水肿及血透停止时机的选择均对死亡率有较大影响。
Objective To investigate the possible cause of death after hemodialysis in the patients with serious HFRS and acute renal failure and the strategy for prevention and treatment. Method This article reported the results of hemodialysis and other therapy such as medicament of 148 patients with acute renal failure and serious HFRS. The possibility of fatal cause and the strategy for prevention and treatment were also studied. Result 16% of the patients died after hemodialysis(247148). Nine of them died of gastrointestinal massive haemorrhage (37.5 %, 9/24), 6 died of pulmonary infection ( 25 %, 6/24 ), 3 died of pulmonary dropsy caused by heart failure(l2.5% ,3/24) ,2 died of brain dropsy(8.3% ,2/24) ,2 died of uraemia and 2 died of blood poisoning. Conclusion Early hemodialysis is the way to lower the mortality. Preventive treatment on fogastrointestinal hemorrhage, infection, pulmonary dropsy caused by heart failure, and brain dropsy have positive effect on lowering the mortality after stopping hemodialysis.
出处
《热带医学杂志》
CAS
2003年第1期77-78,共2页
Journal of Tropical Medicine
