慢性肾衰并急性左心衰36例救治体会

目的：分析探讨终末期慢性肾衰竭（CRF）并急性左心衰的发病机制及救治措施。方法：对36例各种原因所致的终末期CRF患者并急性左心衰采用药物控制血压,降低外周血管阻力,减轻心脏后负荷及采用血液透析等方法,减轻心脏前负荷,控制心衰。结果：36例患者2 286次来院救治并发急性左心衰1 144次,抢救成功1 138次,成功率99.5%。结论：终末期CRF并急性左心衰据发病机理不同,给予不同处理,关键是尽快控制血压,脱水,降低外周血管阻力和控制血容量,降低心输出量。

The Experience of Treatment of the Chronic Renal Failure Combination with Acute Left Heart Failure

Objective： To analyze the mechanism and treatment of the chronic renal failure combination with acute left heart failure.Methods： We collected 36 patients who have chronic renal failure combination with acute left heart failure,and we used drugs to control the blood pressure,lower the peripheral vascular resistance,lessen the cardiac afterload and hemodialysis to lessen the cardiac preload to control heart failure.Results： Thirty-six patients were sent to hospital for 2286 times,for combinated with acute left heart failure 1144 times,rescued successfully 1138 times,and successful rate is 99.5%.Conclusion： The mechanism of chronic renal failure combination with acute left heart failure is different,so we deal with differently,the key is to control the blood pressure and dehydration,lower the peripheral vascular resistance,control the blood volume and lower the cardiac output.