Clinical analysis of death causes of renal faille patients undergoing maintenance hemodialysis

VernacularTitle:维持性血液透析患者死亡原因分析
Author: Dongsheng ZHANG
Publication Type:Journal Article
Keywords: Hemodialysis; Kidney failure; Death
From: Chinese Journal of Primary Medicine and Pharmacy 2011;18(10):1341-1343
CountryChina
Language:Chinese
Abstract: Objective To analyze the causes of death in patients with uremia during maintenance hemodialysis and explore the countermeasures for improving life quality and decreasing mortality.Methods A retrospective analysis was made on the clinical and hemodialysis material fo 145 patients with MH to analysis the causes of death.Results The total number of deaths was 38;cerebral hemorrhage 6,heart failure 16,infection 5,the mean age in the deceased group was older than that in the survival group.The systolic blood pressure in the deceased group was higher than that in the survival group,but the levels of serum albumin,serum total cholesterol,serum creatinine,and urea nitrogen in the deceased group were much more lower than those in the survival group.The mean duration of hemodialysis in the deceased group was shorter than that in the survival group.Conclusion Cardiovascular disease and severe infections were the leading causes of death in patients with maintenance hemodialysis.Controlling the inter-dialysis weight gain and blood pressure,improving the anemia and main-nutrition were the significant management of prevention of cardiovascular complications.