Nocturnal hemodialysis patients 58 cases of acute heart failure induced Analysis.doc

 PAGE \* MERGEFORMAT 8 Nocturnal hemodialysis patients 58 cases of acute heart failure induced Analysis Study: Master Jian, Xiao Guizhen, Liang Hui, Zhu Pingying [Keywords:] hemodialysis, nocturnal acute left heart failure, chronic renal failure Acute left ventricular failure in chronic renal failure one of the most common serious complications, and induced mostly at night, if the failure to find and rescue treatment will lead to death. The author of the maintenance hemodialysis (MHD induced acute left ventricular failure at night The clinical data of 58 patients were retrospectively analyzed to explore the factors that induce heart failure, the report is as follows. Materials and Methods 1. General Information 58 cases to our hospital from January 2002 to December 2007 and the author in the Guangxi Zhuang Autonomous Region People’s Hospital, Department of Nephrology training six months (February 2003 to 8 menstrual treatment of patients, 32 males, aged 22 to 76 years old, female 26 patients, aged 25 to 79 years, both chronic renal failure uremia MHD patients, the mean dialysis time of 2.5 years. including 1 case of kidney transplantation after the failure of men to MHD. night in the acute left ventricular failure of the clinical manifestations of extreme dyspnea, orthopnea, not supine, lungs moist rales, most of the blood pressure was significantly increased. rule out acute myocardial infarction, malignant ventricular arrhythmia due to acute circulatory disorders and asthma, pneumothorax, pulmonary embolism due to acute respiratory difficult. induced acute left ventricular failure due to hypertension 30 cases (51.7%), inadequate dialysis in 13 cases (22.4%), diet without restraint in 9 cases (15.5%), pulmonary infection in 6 cases (10.4%). 2. Rescue measures immediately to half-sit position, oxygen. establishment of intravenous access, intravenous vasodilators, use of nitroglycerin, sodium nitroprusside, phentolamine, monitoring and c