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目的:探讨尿毒症肺水肿患者的临床特征及腹膜透析对其治疗的评价。方法:对本院本科78例尿毒症肺水肿患者的临床表现、影像学改变和临床生化指标进行分析,并采用腹膜透析对其治疗的价值。结果:尿毒症肺水肿患者其原发病以慢性肾炎最为多见,临床表现多样化,轻重不一致,X线表现以肺淤血、间质性肺水肿为最常见,腹膜透析组与非透析治疗组相比较,病死率差异有统计学意义(P<0.01)。结论:腹膜透析是有效治疗尿毒症肺水肿的方法,能明显减轻症状,减少病死率。
Objective: To investigate the clinical characteristics of uremic patients with pulmonary edema and peritoneal dialysis evaluation of its treatment. Methods: The clinical manifestations, imaging changes and clinical biochemical indexes of 78 patients with uremia pulmonary edema in our hospital were analyzed, and the value of peritoneal dialysis was analyzed. Results: The primary disease of uremic pulmonary edema patients with chronic nephritis is the most common, the clinical manifestations of varying degrees of inconsistency, X-ray showed pulmonary congestion, interstitial pulmonary edema is the most common peritoneal dialysis group and non-dialysis group Compared with the case fatality rate difference was statistically significant (P <0.01). Conclusion: Peritoneal dialysis is an effective treatment of uremic pulmonary edema method, can significantly reduce the symptoms and reduce mortality.