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題 名 | 血液透析病患的心源猝死=Sudden Cardiac Death in Hemodialysis |
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作 者 | 黃尹珊; 方浙新; 陳育忠; | 書刊名 | 腎臟與透析 |
卷 期 | 29:3 2017.09[民106.09] |
頁 次 | 頁136-141 |
專 輯 | 臨床指引回顧 |
分類號 | 415.816 |
關鍵詞 | 心源猝死; 血液透析; 心血管疾病; 心臟驟停; Sudden cardiac death; Hemodialysis; Cardiovascular disease; Sudden cardiac arrest; |
語 文 | 中文(Chinese) |
中文摘要 | 在血液透析病患,心血管疾病是最常見的死亡原因,其中又以心源猝死最為嚴重。心血管鈣化和左心室肥大兩者,是心源猝死的兩大因素。心源猝死常伴有收縮性心臟衰竭,而透析患者則常見舒張性心臟衰竭。除了心室心律過速,血液透析病患的致命性心律不整,還有心律過慢、心搏停止以及無脈性心電氣活動。血液透析病患心源猝死的原因,和末期腎衰竭病理、透析處方以及使用的藥物有密切關係。避免使用低鉀、低鈣的透析液、避免脫水率太快以及使用低溫透析等,都能有助於心源猝死的預防。 |
英文摘要 | Hemodialysis (HD) patients carry a large burden of cardiovascular disease; most serious is the high risk for sudden cardiac death (SCD). Vascular calcifications and left ventricular hypertrophy may play a role in the pathophysiology of SCD. Besides ventricular tachyarrhythmias, non-ventricular arrhythmia including bradycardia, asystole and pulseless electrical activity are even more common associated with SCD in HD patients. Arrhythmic triggers also differ in HD patients, with some arising uniquely from the HD procedure. These differences have important implications of prevention and treatment for SCD. These strategies include using specific cardiac medications or implantable defibrillators, minimizing exposure to low potassium and calcium dialysate concentrations, extending dialysis treatment times or adding sessions to avoid rapid ultrafiltration, and lowering dialysate temperature. |
本系統中英文摘要資訊取自各篇刊載內容。