血透患者腿抽筋发生的原因和处理办法（Causes and treatment of leg cramps in hemodialysis patients）.docVIP

血透患者腿抽筋发生的原因和处理办法（Causes and treatment of leg cramps in hemodialysis patients） Causes and treatment of leg cramps in hemodialysis patients Peking Union Medical College Hospital () Su Ying Sometimes, during the hemodialysis process, the patient has a sudden, intense, persistent contraction of some of the muscles, accompanied by marked pain, which is medically known as muscular rigidity. This happens most often in the lower extremities, especially in the back of the leg, which is what our common people call calf cramps.. The abdomen and chest muscle cramps may also occur, manifested as abdominal pain, chest pain and shortness of breath. Dialysis induced leg cramps often occur during dialysis, especially after 2-3 hours of dialysis, but sometimes occur several hours after dialysis has ended, even at night. Muscle rigidity does not directly endanger the patients life, but it brings pain to the patient, and also suggests that the patient may have some potential dangers! So, what factors may lead to muscle stiffness, and how to prevent and treat it? The most common reason is dialysis dehydration too much too fast. We know that uremic patients often have increased body fluids, but these water deposits mainly in the interstitial cells and tissue spaces outside the blood vessels, not in the blood vessels. Dialysis dehydration is the removal of water from the vessel, and the water in the tissue slowly returns to the blood vessel. If too much too fast, dialysis dehydration, dehydration was faster than the tissue water return within the vessel speed, there will be insufficient blood volume, blood pressure, limb muscle vasoconstriction, ischemia, and muscle rigidity, or cramps. Treatment and prevention: strictly limit the amount of dialysis dehydration, each dehydration does not exceed 4% of the body weight, the maximum can not exceed 5%, more than 65 years old patients do not exceed 3%, otherwise it may induce muscle rigidity. For example, patients with a weight of 60 kg should