论文部分内容阅读
本文对１９倒尿毒症患者血透治疗１０２例次，用计算法测定了其中５９例次血清总晶体渗透压（ＴＯ）和有效渗透压（ＥＯＰ），结合血透前后体重、平均血压及尿素氮清除率（ＵＮＣＲ）等指标加以分析，血透中低血压发生率为３４．３％，其中透析早期低血压占２．９％，中期占５．７％，晚期占９１．４％，尿毒症患者固氮质血症使血ＴＯ升高，血透清除尿素等小分子物质，当ＵＮＣＲ＞５０％时，血ＴＯ下降，其下降幅度＞２５ｍｍｏｌ／Ｌ，可引起透析晚期低血压。
In this paper, hemodialysis treatment of 19 patients with uremia 102 times, using the calculation method was measured in 59 cases of total serum total crystal osmolality (TO) and effective osmolality (EOP), combined with body weight before and after hemodialysis, mean blood pressure and urea nitrogen (UNCR) and other indicators to be analyzed, the incidence of hypotension in hemodialysis was 34.3%, of which early dialysis accounted for 2.9%, intermediate 5.7%, late accounted for 91.4%, uremia Patients with azotemia to blood TO increased hemodialysis, urea and other small molecules cleared, when UNCR> 50%, blood TO decreased, the decline of> 25mmol / L, can cause late dialysis hypotension.