急性左心衰竭是维持性血液透析病人最为平常的严重并发症之一
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">急性左心衰<span style="color: black;">指的是</span>急性<span style="color: black;">爆发</span><span style="color: black;">或</span>加重的左心功能<span style="color: black;">反常</span><span style="color: black;">导致</span>的心肌收缩力<span style="color: black;">显著</span>降低、心脏负荷加重，<span style="color: black;">导致</span>急性心排<span style="color: black;">流血</span>量骤降、肺循环压力<span style="color: black;">忽然</span><span style="color: black;">上升</span>、<span style="color: black;">周边</span>循环阻力<span style="color: black;">增多</span>，从而<span style="color: black;">导致</span>肺循环充血而<span style="color: black;">显现</span>急性肺淤血、肺水肿，以及伴组织器官灌注不足的心源性休克的一种临床<span style="color: black;">综合症</span>。</span></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><img src="https://mmbiz.qpic.cn/mmbiz_jpg/fTZnpZ9L2rib2aCXcPQQLsnt6PXibOGGGk8U7uLiaPn8WgFiaDficC9uMX4W6960ibdKFvAn6SmvgDRyP5zrWhDgSvibw/640?wx_fmt=jpeg&tp=webp&wxfrom=5&wx_lazy=1&wx_co=1" style="width: 50%; margin-bottom: 20px;"></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">急性左心衰竭是维持性血液透析<span style="color: black;">病人</span>最为<span style="color: black;">平常</span>的严重并发症之一，若未能<span style="color: black;">即时</span><span style="color: black;">发掘</span>和治疗可<span style="color: black;">引起</span>死亡。</span></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><img src="https://mmbiz.qpic.cn/mmbiz_png/fTZnpZ9L2rib2aCXcPQQLsnt6PXibOGGGkZoz0txb4bHnxn1vfgFKwC4kic6kpS9ibhfdUtN6TWBh2RBQibkTXjTpMA/640?wx_fmt=png&tp=webp&wxfrom=5&wx_lazy=1&wx_co=1" style="width: 50%; margin-bottom: 20px;"></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;"> 急诊血液透析治疗，快速超滤脱水，能在<span style="color: black;">短期</span>内排出<span style="color: black;">身体</span>多余水分，减少血容量或减轻心脏<span style="color: black;">包袱</span>，是治疗维持性血液透析并发左心衰竭的首选<span style="color: black;">办法</span>之一。</span></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><strong style="color: blue;"><span style="color: black;"><span style="color: black;">1、</span>临床表现：</span></strong></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><img src="https://mmbiz.qpic.cn/mmbiz_png/fTZnpZ9L2rib2aCXcPQQLsnt6PXibOGGGkv0Ofn1liabY63hKeot9eVicCUiajjReMXbjSVLTOaWPDOLQXkMuzjQPqg/640?wx_fmt=png&tp=webp&wxfrom=5&wx_lazy=1&wx_co=1" style="width: 50%; margin-bottom: 20px;"></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;"><span style="color: black;">突发<span style="color: black;">呼气</span>困难加重，端坐<span style="color: black;">呼气</span>，烦躁不安，咳嗽，咳痰，咳白色或粉色<span style="color: black;">泡泡</span>痰，面色苍白，可有口唇及肢端发绀，双肺布满湿罗音，心率增快，胸部透视<span style="color: black;">检测</span>可<span style="color: black;">发掘</span>肺水肿征。</span></span></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><strong style="color: blue;"><span style="color: black;"><span style="color: black;">2、</span><span style="color: black;">原由</span>分析：</span></strong></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><strong style="color: blue;"><span style="color: black;">1<span style="color: black;">、摄入<span style="color: black;">太多</span>水分：</span></span></strong><span style="color: black;"> 维持性血液透析<span style="color: black;">病人</span>因肌酐、尿素氮<span style="color: black;">上升</span>，<span style="color: black;">血液</span>渗透压较高易口渴，透析<span style="color: black;">时期</span>本身又为<span style="color: black;">没</span>尿或少尿，摄入的水分<span style="color: black;">不可</span>排出，<span style="color: black;">引起</span>体重<span style="color: black;">增多</span>，容量负荷加重，<span style="color: black;">显现</span>左心衰竭。</span></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><img src="https://mmbiz.qpic.cn/mmbiz_png/fTZnpZ9L2rib2aCXcPQQLsnt6PXibOGGGkwcBjTVqqhUK2NFapBq1e7GVhYwu29y4ibovAwL3s6z74pd5YR3VDtaA/640?wx_fmt=png&tp=webp&wxfrom=5&wx_lazy=1&wx_co=1" style="width: 50%; margin-bottom: 20px;"></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><strong style="color: blue;"><span style="color: black;">2<span style="color: black;">、透析不充分：</span></span></strong><span style="color: black;">维持性血液透析<span style="color: black;">病人</span><span style="color: black;">因为</span>经济<span style="color: black;">原由</span>，两次透析间隔时间过长，会<span style="color: black;">增多</span>下一次的透析压力，使水分和毒素均<span style="color: black;">不可</span>有效地得到消除，<span style="color: black;">不可</span>达到干体重；<span style="color: black;">长时间</span>累积<span style="color: black;">不可</span><span style="color: black;">增多</span>透析次数，使水钠潴留，心脏<span style="color: black;">包袱</span>加重，<span style="color: black;">显现</span>左心衰竭；<span style="color: black;">另一</span>，尿毒症毒素蓄积可影响心脏功能，<span style="color: black;">导致</span>心肌病变，<span style="color: black;">引起</span>心衰。</span></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><img src="https://mmbiz.qpic.cn/mmbiz_jpg/fTZnpZ9L2rib2aCXcPQQLsnt6PXibOGGGkx5rhiafup9NL6FwmQYcShG6LKUKStQoyfTGu5u7b8RfKhEjjEUsfMmg/640?wx_fmt=jpeg&tp=webp&wxfrom=5&wx_lazy=1&wx_co=1" style="width: 50%; margin-bottom: 20px;"></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">3、</span><strong style="color: blue;"><span style="color: black;">干体重不准确：</span></strong><span style="color: black;">透析过程中，<span style="color: black;">因为</span>超滤总量及超滤率过大、心脏<span style="color: black;">原由</span>、低血压、高龄<span style="color: black;">病人</span>等<span style="color: black;">不可</span>耐受脱水，<span style="color: black;">引起</span>透析后体重大于干体重，每次透析未达真实干体重，<span style="color: black;">身体</span>存水使水钠潴留容量负荷过重，诱发左心衰。</span></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><img src="https://mmbiz.qpic.cn/mmbiz_png/fTZnpZ9L2rib2aCXcPQQLsnt6PXibOGGGkA1E6jnMQ3OUJuKXSyw19XaiaHMx7vdiaXDly4EibBIxx6OoFERhIAETHQ/640?wx_fmt=png&tp=webp&wxfrom=5&wx_lazy=1&wx_co=1" style="width: 50%; margin-bottom: 20px;"></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><strong style="color: blue;"><span style="color: black;">4、<span style="color: black;">药品</span><span style="color: black;">调节</span>不<span style="color: black;">即时</span>：</span></strong><span style="color: black;"><span style="color: black;">病人</span><span style="color: black;">吃下</span>降压药效果<span style="color: black;">不良</span>,<span style="color: black;">无</span><span style="color: black;">即时</span><span style="color: black;">调节</span><span style="color: black;">或</span><span style="color: black;">药品</span>治疗不规则,再有<span style="color: black;">病人</span>生活不规律,<span style="color: black;">心情</span>波动,<span style="color: black;">睡觉</span><span style="color: black;">不良</span>等使血压波动太大或<span style="color: black;">忽然</span><span style="color: black;">上升</span>,易诱发急性左心衰竭的<span style="color: black;">出现</span>。</span></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><img src="https://mmbiz.qpic.cn/mmbiz_jpg/fTZnpZ9L2r86yDhlGl1Jz34n29JxcmBqbZwo2XBFwPsBVX5KibsVSoia5NRPHia6kccDAbkud1pvkUpc4MHcHLl8g/640?wx_fmt=jpeg&tp=webp&wxfrom=5&wx_lazy=1&wx_co=1" style="width: 50%; margin-bottom: 20px;"></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><strong style="color: blue;"><span style="color: black;">5、</span></strong><strong style="color: blue;"><span style="color: black;">感染</span></strong><strong style="color: blue;"><span style="color: black;">：</span></strong><span style="color: black;"><span style="color: black;">重点</span>为肺部感染,维持性血液透析<span style="color: black;">病人</span>免疫功能<span style="color: black;">反常</span>,加上<span style="color: black;">病人</span>常合并营养不良,抵抗力差,易患上<span style="color: black;">呼气</span>道感染,未<span style="color: black;">即时</span>治疗并发肺部感染致肺水肿,诱发左心衰。</span></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><img src="https://mmbiz.qpic.cn/mmbiz_jpg/fTZnpZ9L2rib2aCXcPQQLsnt6PXibOGGGkcD3XLUwkHT3PGB2JGoqjHE0l2cO8tvECZQclxKZE1yZzmLNPicNJtUw/640?wx_fmt=jpeg&tp=webp&wxfrom=5&wx_lazy=1&wx_co=1" style="width: 50%; margin-bottom: 20px;"></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><strong style="color: blue;"><span style="color: black;"><span style="color: black;">3、</span></span></strong><strong style="color: blue;"><span style="color: black;">健康<span style="color: black;">指点</span>：</span></strong></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">1、<span style="color: black;">病人</span>主动积极的<span style="color: black;">协同</span>透析治疗,减少透析并发症的<span style="color: black;">出现</span>。 </span></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><img src="https://mmbiz.qpic.cn/mmbiz_jpg/fTZnpZ9L2rib2aCXcPQQLsnt6PXibOGGGklThgZJiasVTETzC778vwTNlTOQ4hmvTB1efAAh7pupSoOQ7b1SKJxKQ/640?wx_fmt=jpeg&tp=webp&wxfrom=5&wx_lazy=1&wx_co=1" style="width: 50%; margin-bottom: 20px;"></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">2、水钠限制严格限制水的摄入量,出入量保持平衡,每日<span style="color: black;">测绘</span>体重,使透析<span style="color: black;">时期</span>体重<span style="color: black;">增多</span>最好<span style="color: black;">掌控</span>在不超过干体重的3%为宜；钠摄入应限制在1～2 g/d，<span style="color: black;">没</span>尿<span style="color: black;">病人</span><span style="color: black;">膳食</span>应以干食为主,如馒头、米饭、捞面。</span></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><img src="https://mmbiz.qpic.cn/mmbiz_png/fTZnpZ9L2rib2aCXcPQQLsnt6PXibOGGGkpGkIcgr0n1Gu5rVpUtHMhPqBQyvCo7iazahqfdyDLlYnicicUctOibWtOA/640?wx_fmt=png&tp=webp&wxfrom=5&wx_lazy=1&wx_co=1" style="width: 50%; margin-bottom: 20px;"></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">3、充分透析<span style="color: black;">按照</span><span style="color: black;">病人</span>每日尿量、心功能、血压、全身浮肿<span style="color: black;">状况</span>来<span style="color: black;">调节</span>透析频率及透析时间；准确设定超滤量,保持出入量平衡,<span style="color: black;">保证</span>透析充分,针对不同<span style="color: black;">病人</span>透析剂量个体化。 </span></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">4、干体重的<span style="color: black;">掌控</span>：<span style="color: black;">指的是</span><span style="color: black;">身体</span><span style="color: black;">没</span>多余水分潴留<span style="color: black;">亦</span><span style="color: black;">没</span>缺水时的理想体重,它受<span style="color: black;">病人</span><span style="color: black;">心情</span>、<span style="color: black;">睡觉</span>、饮食、排泄、营养<span style="color: black;">情况</span>、<span style="color: black;">疾患</span>、季节等<span style="color: black;">原因</span>影响,随时<span style="color: black;">出现</span>变化；每次透析时都要<span style="color: black;">按照</span><span style="color: black;">病人</span>体重<span style="color: black;">增多</span><span style="color: black;">状况</span>,<span style="color: black;">病人</span>的自我感觉,活动后有<span style="color: black;">没</span>胸闷,夜间能否平卧,有<span style="color: black;">没</span>浮肿以及衣物的增减<span style="color: black;">状况</span>等给予正确<span style="color: black;">评定</span>,设计超滤数,力争每次透析后能达到干体重；对体重<span style="color: black;">增多</span><span style="color: black;">太多</span>、超滤困难者应<span style="color: black;">增多</span>透析次数。</span></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">5、<span style="color: black;">掌控</span>血压：<span style="color: black;">病人</span>或家属应正确<span style="color: black;">运用</span>血压计,每日自测血压3次,并做好记录,有变化时<span style="color: black;">即时</span>与医师联系。</span></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><img src="https://mmbiz.qpic.cn/mmbiz_jpg/fTZnpZ9L2rib2aCXcPQQLsnt6PXibOGGGkCCYptGImzzj1AQ8HeFYaO7awKBEMeTwb6GPH8GkpLFVbTBAia2kLFwQ/640?wx_fmt=jpeg&tp=webp&wxfrom=5&wx_lazy=1&wx_co=1" style="width: 50%; margin-bottom: 20px;"></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">6、防止感染充分透析、改善贫血、纠正营养不良等<span style="color: black;">办法</span>可<span style="color: black;">加强</span>机体抵抗力。</span></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">7、<span style="color: black;">创立</span>良好的生活习惯,<span style="color: black;">重视</span>保暖,防止着凉,<span style="color: black;">重视</span><span style="color: black;">休憩</span>,可进行适当的体育<span style="color: black;">熬炼</span>,<span style="color: black;">加强</span>机体抵抗力,对已存在的感染积极<span style="color: black;">掌控</span>,减少并发症的<span style="color: black;">出现</span>。</span></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><img src="https://mmbiz.qpic.cn/mmbiz_png/fTZnpZ9L2rib2aCXcPQQLsnt6PXibOGGGkckM2XZ0mVP3BvlmqUu6nfTzn1icNJ3tw9Rf5ibCSK2wfjpLXrgAw78Tw/640?wx_fmt=png&tp=webp&wxfrom=5&wx_lazy=1&wx_co=1" style="width: 50%; margin-bottom: 20px;"></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><strong style="color: blue;"><span style="color: black;"><span style="color: black;">4、</span></span></strong><strong style="color: blue;"><span style="color: black;">结论</span></strong><strong style="color: blue;"><span style="color: black;">：</span></strong><span style="color: black;">经过有效的健康知识教育,使广大肾友对<span style="color: black;">自己</span><span style="color: black;">疾患</span>及血液透析有了正确认识,<span style="color: black;">加强</span>了自我护理、自我管理的能力;能够做到自觉<span style="color: black;">掌控</span>液体摄入,<span style="color: black;">恰当</span><span style="color: black;">膳食</span>,规律用药,保持良好的<span style="color: black;">心理</span>，预防急性左心衰竭的<span style="color: black;">出现</span>,避免和减少维持性血液透析病人的急诊透析次数,<span style="color: black;">加强</span><span style="color: black;">病人</span>的生活质量起到了<span style="color: black;">要紧</span><span style="color: black;">功效</span>。</span></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;"><span style="color: black;">【免责声明： <span style="color: black;"><span style="color: black;">文案</span>为转载，</span>版权归原作者所有，</span><span style="color: black;"><span style="color: black;">文案</span>观点仅<span style="color: black;">表率</span>作者。如有<span style="color: black;">不当</span>之处，请联系<span style="color: black;">咱们</span></span><span style="color: black;">】</span></span></p>
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<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><img src="https://mmbiz.qpic.cn/mmbiz_jpg/fTZnpZ9L2r9wQqzOxRnPB7SUwhNoxfiaLGd7HI8d4Ga6gkAb6QHbqc5eBhuTAtEnQayqv4RSzwzNEoGHOnupQww/640?wx_fmt=jpeg&tp=webp&wxfrom=5&wx_lazy=1&wx_co=1" style="width: 50%; margin-bottom: 20px;"></p>
楼主节操掉了，还不快捡起来！ 你的言辞如同繁星闪烁，点亮了我心中的夜空。 我们有着相似的经历，你的感受我深有体会。 感谢您的精彩评论，为我带来了新的思考角度。 软文发布平台 http://www.fok120.com/ 我完全同意你的观点，说得太对了。
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