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目的总结不同治疗方法对CKD-5D期脑出血患者的预后的影响。方法通过回顾青岛中西医结合医院2005-2012年收治的21例次CKD-5D期合并脑出血患者的治疗,总结间断肾脏替代治疗(间断血液透析和间断血液滤过)与每日血液透析治疗CKD-5D期合并脑出血的临床效果。结果每日血液透析组患者的总体好转率、死亡率好于间断肾脏替代。结论每日血液透析是治疗CKD-5D期合并脑出血的较理想的方法。
Objective To summarize the influence of different treatment methods on the prognosis of patients with cerebral hemorrhage in CKD-5D stage. Methods By reviewing the treatment of 21 patients with CKD-5D complicated with cerebral hemorrhage admitted in Qingdao Traditional Chinese and Western Medicine Hospital from 2005 to 2012, we concluded that intermittent renal replacement therapy (intermittent hemodialysis and intermittent hemofiltration) and daily hemodialysis treatment of CKD -5D clinical efficacy of cerebral hemorrhage. Results In the daily hemodialysis group, the overall improvement rate and mortality were better than intermittent renal replacement. Conclusion Daily hemodialysis is a better treatment for CKD-5D with cerebral hemorrhage.