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目的探讨维持性血液透析(MHD)患者存活的危险因素。方法对该院MHD的100例死亡病例进行回顾总结。结果死亡组原发病因前3位分别为糖尿病肾病、高血压性肾病、慢性肾小球肾炎。死亡组患者的初透年龄、白细胞、血钾、血磷、白蛋白、甘油三酯水平与未死亡组比较差异显著(P<0.05),其余各项指标均无明显差异。此外,心源性猝死及脑血管意外是主要死亡原因,存活患者中也有一定比例的心脑血管意外发生。结论初次透析年龄、炎症状态、贫血、高钙血症、营养不良均可影响透析患者生存期。
Objective To investigate the risk factors of survival in maintenance hemodialysis (MHD) patients. Methods A total of 100 deaths from MHD in our hospital were reviewed. Results The first three causes of death in diabetic group were diabetic nephropathy, hypertensive nephropathy and chronic glomerulonephritis respectively. The initial age, leukocyte, serum potassium, serum phosphorus, albumin and triglyceride level in the death group were significantly different from those in the non-death group (P <0.05). There was no significant difference in other indexes. In addition, sudden cardiac death and cerebrovascular accident is the main cause of death, survival of patients also have a certain proportion of cardiovascular and cerebrovascular accidents. Conclusion The initial dialysis age, inflammatory status, anemia, hypercalcemia, malnutrition may affect the survival of dialysis patients.