摘要
本文对重症肾综合征出血热20例血液透析指征进行了探讨。血尿素氮(BUN)大于35.70mmol/L 8例,28.56～35.70mmol/L 5例,小于28.56mmol/L 7例。少尿4～7d 12例,8～15d 8例。提出不能单纯以BUN水平及少尿日数作为血液透析(HD)指征,它们与发生左心衰竭及出血程度似无直接联系。高血容量综合征及出血时必须立即血液透析,虽有一定危险性,但处理妥当能达到预期目的。血液透析后虽生化指标已正常,仍可死亡。死亡7例中,脑水肿占4例,对此应引起注意。
This paper discusses the indications of hemodialysis (HD) in 20 cases of severe epidemic hemorrhagic fever with renal syndrome.BUN was more than 35.70mmol/L in 8 cases, 28.56-35.70mmol/L in 5, and less than 28.56mmol/L in 7. The duration of oliguria was 4-7 days in 12 cases, 8-14 days in 8. The results suggest that mere BUN level and oliguria duration should not be taken as HD indications. They do not seem to be directly related to left heart failure and hemorrhage. There may be certain dangers in cardiac failure and hemorrhage when HD is performed, but, if handled properly, the desired results can be achieved. It must de noticed that patients may die of encephaledema or other causes, though biochemical indexes may be normal after HD.
出处
《第四军医大学学报》
1989年第4期254-256,共3页
Journal of the Fourth Military Medical University
关键词
血液透析
肾综合征
出血热
BUN
hemodialysis
hemorrhagic fever, epidemic
blood urea nitrogen
hem-orrhage
oliguria
