摘要
目的探讨慢性肾功能衰竭血液透析患者心律失常的预防及治疗措施。方法总结130例患者行血液透析1183次的临床资料,分析心律失常者的临床特点及其处置情况。结果发生心律失常246次,发生率为20.8%;其发生与基础病变、营养状况、炎症状态、电解质平衡及透析时间等有关,及时调整透析方案、合理应用抗心律失常药物能纠正心律失常、改善症状。结论随着慢性肾功能衰竭血液透析患者透析时间延长、年龄增长,在感染、营养不良、电解质紊乱时心律失常可能发生或加重,合理的透析方案、抗心律失常药物的合理应用及去除诱因可改善患者症状及心功能,从而改善预后。
Objective To investigate the clinical characteristics and measures of prevention and treatment for the arrhythmic in hematodialysis patient with chronic renal function failure. Methods A retrospective analysis was proceeded for 130 patients in hematodialysis with chronic renal function failure. Results Among 1138 hematodialysis, the rate of arrhythmic was 20.8%. Those arrhythmic were related to the primary disease, nutritional status, inflammation, electro- lyte balance and the time of hematodialysis. Conclusion The arrhythmic of patient with chronic renal function failure maybe happen or aggravate, when the patients were with infection, undernutrition and electrolyte unbalance. The man- agement of hematodialysis and antiarrhythmic drug can prevent and treat the arrhythmie in hematodialysis patient.
出处
《西部医学》
2010年第2期239-241,共3页
Medical Journal of West China
