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目的 探讨简单碳酸氢盐血液透析的临床实用性。方法 分析 6年余采用简单血透的 10 912人次的各种医学并发症和技术并发症的发生率以及远期疗效。结果 急性医学并发症 :简单血透血压下降、不适、头晕、腹痛、肌痉挛发生率高于进口容控机血透 (P <0 .0 1) ,而头痛相反 (P <0 .0 5)。技术并发症共发生 9例 ,发生率为 0 .82‰ ,均未造成严重后果。远期效果 :简单血透病人贫血状况明显好转 ,高血压发生率呈逐降的趋势。 3种含氮小分子代谢产物透析后明显下降。结论 简单碳酸氢盐血液透析既适合于尿毒症病人长期维持性血透 ,也便于床旁血透抢救危重病人
Objective To investigate the clinical utility of simple bicarbonate hemodialysis. Methods The incidence of various medical and technical complications and long-term efficacy of 10 912 persons who had received simple hemodialysis over six years were analyzed. Results Acute medical complications: The incidence of simple blood pressure drop, discomfort, dizziness, abdominal pain and muscle spasm was higher than that of the imported volume control machine (P <0.01), but the headache was opposite (P <0.05) . A total of 9 cases of technical complications occurred, the incidence was 0.82 ‰, did not cause serious consequences. Long-term effect: simple hemodialysis patients with anemia was significantly improved, the incidence of hypertension showed a downward trend. Three kinds of nitrogen-containing small molecule metabolites decreased significantly after dialysis. Conclusion Simple bicarbonate hemodialysis is not only suitable for long-term hemodialysis patients with uremia, but also for bedside hemodialysis to rescue critically ill patients