张晓良血液透析相关低血压研究进展2013版课件

of symptoms needing an intervention . A fall in SBP by at least 20mmHg or a decrease in mean arterial pressure by at least 10mmHg is required to qualify for the diagnosis of hypotension . Nephrol Dial Transplant 2007; 22 (Suppl 2):ii22 – ii44 透析相关低血压透析相关低血压??发生于发生于 10 10 ~ ~ 30 30 %的血液透析中%的血液透析中??导致多种合并症的出现(心梗、脑梗等) 导致多种合并症的出现(心梗、脑梗等) ??增加死亡率增加死亡率??导致透析不充分导致透析不充分 Kidney Int Suppl 2006 透析相关低血压的合并症透析相关低血压的合并症 From the U.S. Renal Data System, USRDS 2006 Annual Data Report 透析相关低血压增加死亡危险透析相关低血压增加死亡危险 SBP, mmHg Predialysis Postdialysis 透析后低血压增加死亡率透析后低血压增加死亡率 Hypotension ? Seizures ? Cerebral infarction ? Cardiac ischemia ? Arrhythmias ? Vascular access thrombosis ? Nausea/vomiting /cramps ? Syncope ? Death Hypertension ? LVH ? CVA ? Cardiomyopathy SBP, mmHg