End-stage renal disease patients because of hypotension during hemodialysis and the countermeasures.docVIP

 PAGE \* MERGEFORMAT 10 End-stage renal disease patients because of hypotension during hemodialysis and the countermeasures [Abstract] of end-stage renal disease (end-stage renal disease, ESRD) patients with hypotension during hemodialysis causes and countermeasures, retrospective analysis of 30 cases of hemodialysis patients with ESRD clinical data. The results, ESRD 30 patients blood 2428 cases of dialysis time, 206 cases of hypotension times, the rate was 8.5%, hypotension of the most important reason is the excessive body fluid excess ultrafiltration (63.6%), followed by heart failure, autonomic dysfunction . should avoid excessive fluid ultrafiltration, set a reasonable dry weight, active monitoring and prevention of hemodialysis autonomic dysfunction caused by low blood pressure and other relevant factors. [Keywords:] end stage renal disease, hemodialysis, hypotension Hemodialysis is the treatment of end stage renal disease (ESRD) and effective method. Hypotension (intradialytic hypotension, IDH) is a common acute hemodialysis complication [1-2], if not in time, not only affects the smooth hemodialysis to reduce the effects of hemodialysis, and even endanger the lives of patients. This paper summarizes hemodialysis in our hospital room in January 2003 -2008 30 cases in January 2428 cases during the time ESRD patients during dialysis hypotension in the case, the report is as follows. 1 Data and methods 1.1 General Information 30 patients in this group are in line with the diagnostic criteria for end-stage renal disease [3], in which 19 males and 11 females, aged from 25 to 82 years, mean 60.4 years old. Diabetic nephropathy in 11 cases, primary glomerulonephritis 8 cases of hypertension-induced atherosclerosis in 4 cases, 3 cases of lupus nephritis, polycystic kidney disease, obstructive nephropathy, vasculitis, and 1 case of aristolochic acid nephropathy. Hemodialysis hypotension 1.2 Diagnostic criteria Than the predialysis mean ar