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报告了救治57例尿毒症严重并发症的临床研究。其中心脏并发症占首位,34例,严重感染10例,消化道并发症7例,神经系统并发症6例。经及时腹膜透析超滤水分、改善尿毒症症状并迅速对症处理后,存活45例(78。9%)。死亡12例(21.0%)。救治成功的体会:①应严格掌握开始透析的指征Ccr不低于0.16ml·s ̄(-1)/1.73m ̄2,糖尿病患者Ccr0.26ml·s ̄(-1)/1.73m ̄2时即应透析救治.②在救治严重并发症患者中,腹膜透析比血液透析有更多的优点:减轻心脏负担,减少肝素引起的出血,避免血液透析导致感染扩散。
Reported the treatment of 57 cases of serious complications of uremia clinical research. Among them, heart complications accounted for the first place, 34 cases, 10 cases of serious infection, 7 cases of gastrointestinal complications, neurological complications in 6 cases. Peritoneal dialysis after ultrafiltration of water to improve the symptoms of uremia and symptomatic treatment quickly, the survival of 45 cases (78.9%). 12 died (21.0%). Rescue success experience: ① should strictly grasp the indication of dialysis started Ccr not less than 0.16ml · s ~ (-1) /1.73m ~ 2, diabetic patients Ccr0.26ml · s ~ (-1) / 1. 73m ~ 2 should dialysis treatment. ② In the treatment of severe complications in patients with peritoneal dialysis than hemodialysis have more advantages: reduce the burden on the heart, reduce bleeding caused by heparin, to prevent hemodialysis caused by infection spread.