目的:研究维持性血液透析中低血压的原因及治疗。方法:统计我院2006-01/2007-12收治的80例血透患者发生低血压的原因及治疗情况。结果:低血压发生率4.74%,其中透析开始发生低血压35例次,占低血压血液透析患者的5.58%。进食时发生低血压118例次,占血液透析低血压患者的18.9%,结束前发生低血压472例次,占血液透析低血压患者的75.52%。结论:虽然低血压原因是多方面的,但研究表明透析中低血压与较高的病死率相关,应针对病因积极治疗。 Objective: To study the causes and treatment of hypotension in maintenance hemodialysis. Methods: The causes and treatment of hypotension in 80 hemodialysis patients admitted from January 2006 to December 2007 in our hospital were analyzed. Results: The incidence of hypotension was 4.74%, of which 35 cases occurred hypotension during dialysis and 5.58% of patients undergoing hemodialysis. Hypotension occurred in 118 cases when eating, accounting for 18.9% of hemodialysis patients with hypotension, before the end of 472 cases of hypotension occurred, accounting for 75.52% of hemodialysis patients with hypotension. CONCLUSIONS: Although the cause of hypotension is multifactorial, studies show that hypotension associated with dialysis is associated with higher case fatality and should be actively treated for the cause.