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目的探讨高龄血透患者影响长期存活的各种因素及防治方法。方法将140例老年患者分成死亡组和存活组，并设立非老年人为对照组，分别观察死亡原因、存活率、并发症及内瘘使用情况、生化变化。结果老年组1、3、5a存活率分别为87，9％、30．8％、10．3％，主要死因是心血管病变，主要并发症是心血管病变占82．7％。高血压占53．5％、低血压占75．8％、感染占31％，与非老年组比较有显著性差异。结论高龄老人＞90岁也可以血透，要早期血透，充分有效的透析，提高营养，防治并发症，建立良好的血管通道是提高存活率的关键。
Objective To investigate the various factors that affect the long-term survival of elderly hemodialysis patients and their prevention and treatment. Methods 140 elderly patients were divided into death group and survival group, and non-elderly as control group. The cause of death, survival rate, complications, fistula use and biochemical changes were observed. Results The 1,3,5-year survival rates in the elderly group were 87.9%, 30.8% and 10.3% respectively. The main cause of death was cardiovascular disease. The main complication was cardiovascular disease (82.7%). Hypertension accounted for 53.5%, hypotension 75.8%, infection 31%, compared with the non-elderly group were significantly different. Conclusion Elderly elderly> 90 years old can hemodialysis, early hemodialysis, adequate and effective dialysis, improve nutrition, prevent complications, and establish a good vascular access is the key to improve survival rate.