| 摘要: |
| ［摘要］ 目的 探讨尿毒症患者呼吸困难常见病因，以指导抢救及预防措施。方法 对住院的198例尿毒症出现呼吸困难患者的临床资料进行回顾性分析。结果 198例均予加强血液透析3次/周，同时结合其他内科治疗,196例好转,2例死亡。结论 尿毒症患者呼吸困难常见原因为急性左心衰、重度代谢性酸中毒、急性左心衰合并重度代谢性酸中毒及大量胸腔积液等，其危险因素可能为血液透析不充分、高血压控制不佳、贫血、代谢性酸中毒、感染等。 |
| 关键词: 尿毒症 呼吸困难 常见病因 危险因素 |
| DOI：10.3969/j.issn.1674-3806.2014.01.20 |
| 分类号:R 692.5 |
| 基金项目: |
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| Analysis of the common causes of dyspnea in 198 uremic patients |
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HE Cui-chang, MA Xiao-yan, WEI Qi-qi
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Department of Nephrology，the People′s Hospital of Heng County，Guangxi 530300，China
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| Abstract: |
| ［Abstract］ Objective To explore the common causes of dyspnea in uremic patients in order to provide the guidance for making treament and prevention measures.Methods Clinical data of 198 uremic inpatients with dyspnea were analyzed retrospectively.Results After strengthening hemodialysis three times a week and using other internal medicine treatment, The improvement was obtained in 196 patients, 2 patients died.Conclusion The common causes of dyspnea in uremic patients included acute heart failure, seriously metabolic acidosis, acute heart failure combined with seriously metabolic acidosis, massive pleural effusions and so on. The risk factors included inadeguate hemodialysis, the hypertension not being well controlled, anemia, metabolic acidosis, infection and so on. |
| Key words: Uremia Dyspnea Common cause Risk factors |
