失代偿性心力衰竭患者利尿剂与单纯超滤的比较

肾脏病与透析肾移植杂志 ›› 2014, Vol. 23 ›› Issue (3): 271-274.

失代偿性心力衰竭患者利尿剂与单纯超滤的比较

出版日期:2014-06-28 发布日期:2014-07-02

Treatment of decompensated heart failure with diuretics and ultrafiltration

Online:2014-06-28 Published:2014-07-02

摘要/Abstract

摘要：

摘要：心力衰竭是一组复杂的临床症候群，是各种心脏疾病的严重阶段，失代偿性心衰的发病机制正是由于钠水潴留带来的容量超负荷，继而导致全身系统尤其肺部的充血水肿。改善急慢性心衰患者容量超负荷的治疗方法成为研究热点。本文综合了近年来相关临床研究，比较了传统袢利尿剂治疗法与单纯超滤治疗急性失代偿性心衰各自的利与弊，以期待对今后的临床工作有所指导。

关键词: 失代偿性心力衰竭, 袢利尿剂, 单纯血液超滤

Abstract:

Abstract: Heart failure is a complex clinical syndrome, a serious stage of various heart diseases. Pathogenesis of decompensated heart failure is volume overload due to sodium and water retention, and in turn resulting in systemic, especially pulmonary congestion and edema. Treatment that could reduce volume overload in acute and chronic heart failure patients has become a research hotspot. By summarizing recent clinical studies, this review compared the pros and cons of traditional loop diuretic therapy and ultrafiltration therapy in acute decompensated heart failure, in order to find some guidance for future clinical work.

Key words: decompensated heart failure, loop diuretics, ultrafiltration

李杏|毛慧娟. 失代偿性心力衰竭患者利尿剂与单纯超滤的比较[J]. 肾脏病与透析肾移植杂志, 2014, 23(3): 271-274.

LI Xing|MAO Huijuan. Treatment of decompensated heart failure with diuretics and ultrafiltration[J]. Chinese Journal of Nephrology, Dialysis & Transplantation, 2014, 23(3): 271-274.

ISSN 1006-298X CN 32-1425/R