【摘要】 为比较尿毒症患者使用不同透析液透析过程中血液动力学的变化，用无创的方法对29例维持性血液透析病人，在碳酸透析（HDB）和醋酸透析（HDA）过程中血液动力学的变化进行监测。结果表明：HDA过程中易发生低血压，心率增快，并有明显的恶心、呕吐、头痛、抽筋等症状。而HDB过程中则很少发生。HDA或HDB过程中清除过多的水分均可使左室舒张期内径和左室收缩期内径缩短，并可使左室射血分数增加，心肌收缩力增强。更多还原

【Abstract】 Twenty-nine patients on maintenance hemodialysis were investigated noninvasivelyto assess the hemodynamic parameters. It was found that blood hypotention and tachyacrdia accompanied with remarkable nausea and vomiting and headache and spasm occurred more fequentlyduring acetate hemodialysis (HDA) than that during bicarbonate hemodialysis (HDB) (P<0.01). Clearance of excessive body water could shorten the left ventricular inner diastolic diameter(LVIDD) and left ventricular inner systolic diameter (LVISD) both during HDA and HDB, andmeanwhile the left ventricular ejection fraction(EF) and myocardial contraction were improved.The study showed the advantages of noninvasive methods in monitoring the hemodynamic changesduring hemodialysis.更多还原