ISSN 1006-298X      CN 32-1425/R

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肾脏病与透析肾移植杂志 ›› 2013, Vol. 22 ›› Issue (5): 482-484.

• 论文 • 上一篇    下一篇

血液透析患者的心肌顿挫的机制及其对预后的影响

  

  • 出版日期:2013-10-28 发布日期:2013-10-28

Myocardial stunning of patients with hemodialysis: its mechanism and impact on the prognosis

  • Online:2013-10-28 Published:2013-10-28

摘要:

摘  要   维持性血透患者的死亡率远高于一般人群,最主要的死因是心血管疾病,很多血透患者会经历一过性的心肌缺血,引起心肌收缩能力的下降,当受累心肌的灌注恢复后,其收缩功能却需要数小时、数天甚至数周才能完全恢复,这一现象称为心肌顿挫。本文就血液透析过程中心肌顿挫发生的机制以及它对患者预后的影响进行简要综述。

关键词: 关键词  , 血液透析 心肌顿挫 , 心血管并发症

Abstract:

Abstract Mortality of the hemodialysis patients is much higher than that of the general population, the main cause of death is cardiovascular diseases. Many hemodialysis patients experience a transient myocardial ischemia, causing the decline in myocardial contractility. After recovery of perfusion of the affected myocardium, its contractility takes a few hours to a few days or even weeks to fully recover. This phenomenon is called myocardial stunning. This article reviews the mechanism of myocardial stunning during hemodialysis, and its impact on the prognosis of patients.

Key words: Key words Hemodialysis, Myocardial stunning, Cardiovascular disease