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1、终末期肾脏疾病血液透析患者的临床特点探讨【摘要】目的：分析探讨终末期肾脏疾病血液透析患者的临床特点,为终末期肾脏疾病的临床治疗提供参考。方法：选取来笔者所在医院进行血液透析治疗的终末期肾脏疾病患者100例进行研究，100例患者入院后,均对其体征、血钠、血钾、血磷、膀胱B超、输尿管、肌肝尿常规、尿索氮、双眼底、双肾等进行临床检查。并根据临床检查数据，对该组患者的发病年龄、性别以及原发病等临床特点进行分析。结果：41〜60岁人群是终末期肾脏疾病的高发人群，且男性发病率显著高于女性(1X0.05)。患者的原发疾病以慢性肾小球肾炎、糖尿病肾病及高血压肾病为主。100例患者中，35例持
2、续性血液透析治疗，39例死亡，12例转至外院进行治疗,9例行肾脏移植治疗，4例转为腹膜透析治疗，1例由于经济困难放弃治疗。结论：终末期肾脏疾病患者的高发人群是中老年，且男性发病率高于女性,原发病以慢性肾小球炎及糖尿病肾病为主。因此，需加强对这类人群的重视，加强原发疾病的控制和监测，从而降低终末期肾脏疾病的发病率。【关键词】终末期肾脏疾病；血液透析；临床特点中图分类号R692.5文献标识码B文章编号1674-6805(2016)10-0024-02[Abstract]Objective：Toanalyzeandinvestigatetheclinicalcharacterist
3、icsofhemodialysispatientswithend-stagerenaldisease,andprovidereferenceforclinicaltreatmentofend-stagerenaJdisease.Method：100patientswithend-stagerenaldiseaseinourhospitalforblooddialysistreatmentwereselectedandanalyzed.After100patientswereadmittedtohospital,allthesigns,bloodna/trium,serumpo
4、tassium,seruminorganicphosphorus,bloodbladderultrasound,ureter,creatinine,urineroutine,ureanitrogen,eyesbottom,doublekidneyetcweredetected.Andaccordingtotheclinicaldata,theincidenceofthegroupofpatientsage,genderandtheprimarydiseaseandotherclinicalfeatureswereanalyzed.ResuIt：41一60yearsoldpop
5、ulationwasthehighincideneeofend-stagerenaldisease,andtheincidenceofmalewassignificantlyhigherthanthatoffemale(P<0.05)•Theprimarydiseasesofthepatientswerechronicg1omeru1onephritis,diabeticnephropathyandhypertensivenephropathy.Amongthe100patienls,35patientsweretreatedwithcontinuoushemodialysi
6、s,39patientsdied,12patientsweretransferredtothehospitalfortreatment,9patientsweretreatedwithrenalIransp1antation,4patientsweretreatedwithperitonealdialysisand1patientwastreatedwitheconomicdifficulty.Conclusion：Thehighincidenceofend-stagerenaldiseasepatientsiselderlypeople,andtheincidencerat
7、eofmaleishigherthanthatoffemale,theprimarydiseaseischronicglomerulonephritisanddiabeticnephropathy.Therefore,itisnecessarytostrengthentheattentionofthesepeople,strengthenthecontrolandmonitoringofprimarydiseases,andreducetheincidenceofend-stagerenaldiseas
