【摘要】 报告了救治５７例尿毒症严重并发症的临床研究。其中心脏并发症占首位，３４例，严重感染１０例，消化道并发症７例，神经系统并发症６例。经及时腹膜透析超滤水分、改善尿毒症症状并迅速对症处理后，存活４５例（７８。９％）。死亡１２例（２１．０％）。救治成功的体会：①应严格掌握开始透析的指征Ｃｃｒ不低于０．１６ｍｌ·ｓ￣（－１）／１．７３ｍ￣２，糖尿病患者Ｃｃｒ０．２６ｍｌ·ｓ￣（－１）／１．７３ｍ￣２时即应透析救治．②在救治严重并发症患者中，腹膜透析比血液透析有更多的优点：减轻心脏负担，减少肝素引起的出血，避免血液透析导致感染扩散。更多还原

【Abstract】 We treated 57 patients with severe complicationsof the end-stage renal disease with peritoneal dialysis(PD).of the 57 patients,5 had cardiac compli-cations,9 severe infections,7 gastrointestinal compli-cations and 6 nervous system complications.Throughtimely PD with water ultrafiltration and supportivetreatments,45 patients survived(78.9%)and 1 2 died(21. 0%);We conclude that:(1)dialysis is indicatedwhen Ccr is no less than 10 ml/min(15ml/min in dia-betic patients).(2)peritoneal dialysis is superior tohemodialysis in the treatment of patients with complica-tions :the former can reduce cardiac load and avoid hem-orrhage due to heparin administration and extension ofinfection during hemodialysis.更多还原