1、1Beijing ESRD RegistrationBeijing ESRD Registration2Beijing ESRD Registration3Beijing ESRD Registration4Beijing ESRD Registration5Beijing ESRD Registration6Beijing ESRD Registration72023-2-10低血压82023-2-10低血压92023-2-10低血压10KI.2007;doi:10.1038/sj.ki.50023432023-2-10低血压112023-2-10低血压122023-2-10低血压13202
2、3-2-10低血压142023-2-10低血压152023-2-10低血压162023-2-10低血压17N Engl J Med 2006;354:131-1402023-2-10低血压192023-2-10低血压202023-2-10低血压212023-2-10低血压222023-2-10低血压232023-2-10低血压242023-2-10低血压253 3-2023-2-10低血压262023-2-10低血压27中华肾脏病杂志 2005;21:81-842023-2-10低血压282023-2-10低血压292023-2-10低血压302023-2-10低血压312023-2-10低血
3、压322023-2-10低血压33细胞内液细胞内液组织间液组织间液血液血液脱水脱水2023-2-10低血压342023-2-10低血压352023-2-10低血压362023-2-10低血压37KI.2002;61:2367-23762023-2-10低血压38KI.2002;61:2367-23762023-2-10低血压392023-2-10低血压402023-2-10低血压41中国血液净化 2006;5:328-3312023-2-10低血压42NDT 2006;21:3231-3237 2023-2-10低血压43Kidney Int 1992;41:961-965ASAIO J 19
4、94;40:M678-682 Nephron 2000;84:284-286 2023-2-10低血压442023-2-10低血压452023-2-10低血压46Beijing ESRD Registration47脑水肿脑水肿Beijing ESRD Registration53鉴别要点鉴别要点A型型B型型发生率发生率4/1000035%发作时间发作时间2030分之内分之内60分之内分之内表现表现呼吸困难、过敏呼吸困难、过敏背痛或胸痛背痛或胸痛严重程度严重程度中中重重轻轻原因原因过敏过敏补体活化补体活化治疗治疗停透、不回血、抗停透、不回血、抗过敏。过敏。继续继续HD，无特，无特殊，吸氧殊，吸
5、氧预防预防不同方法不同方法复用透析器复用透析器Beijing ESRD Registration55Beijing ESRD Registration56Beijing ESRD Registration57Beijing ESRD Registration58透析器膜外出口处见到少量血液，按复位键不能消除.破膜 间歇式警报，按复位键可以消除1单超状态，2透析器连接器密封圈磨损，3除气泵效率降低或管路污染机器自检时漏血项不能通过或治疗时无故报警且按复位键不能消除警报1发光管坏，2控制电路校准，3废液回路管断Beijing ESRD Registration65Beijing ESRD Registration67Beijing ESRD Registration71Beijing ESRD Registration72Thank you for your attention!
