血液透析患者并发急性冠脉综合征分析17例
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摘要 目的：回顾性分析维持性血液透析（MHD）患者并发急性冠脉综合征（ACS）的危险因素。方法：收治MHD并发ACS患者17例为发病组A组，筛选出来并发ACS患者20例设为对照组B组。比较两组在血钙、血磷、iPTH、C反应蛋白、血红蛋白浓度水平、透析过程中出现低血压的例数以及超滤量大于干体重5%的例数的差异性。结果：两组在透析过程中出现低血压例数、血红蛋白浓度水平上差异有统计学意义（P<0.05）。结论：MHD患者透析过程中出现低血压及低血红蛋白水平与ACS的发生存在统计学意义上的相关性，是诱发ACS的危险性因素。
关键词 血液透析;急性冠脉综合征;危险因素
Analysis of 17 patients with hemodialysis complicated with acute coronary syndromeZhao Rongqing， Cuo Donghua，Li Hongmei，Li Ying
Abstract Objective：To retrospectively analyze the risk factors of acute coronary syndrome（ACS）in maintenancehemodialysis（MHD）patients.Methods：17 patients with MHD complicated with ACS were selected as the group A，and 20 patientswithout ACS as the control group B.The levels of serum calcium，phosphorus，iPTH.C-reactive protein，hemoglobin：the numher ofcases of hypotension during dialysis and the numher of cases with ultrafiltration exceeding 5% of dry weight were comparedbetween the two groups.Results：There were significant differences in the number of cases of hypotension and the level ofbemoglobin during dialysis between the two groups（P<0.05）.Conclusion：Hypotension and hypohemoglohin levels in MHDpatients during dialysis are statistically correlated with the occurrence of ACS and are risk factors for inducing ACS.
Key words
Hemodialvsis;Acute coronary syndrome：Risk factors
急性冠脈综合征（ACS）是以冠状动脉（CA）粥样硬化斑块不稳定为基本病理牛理特点，以急性心肌缺血为共同特...
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