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我科1986年～1987年间收治尿毒症患者36例,其中男性23例,女性13例。平均年龄40岁。血红蛋白6.1～8.8g 16例,<6g20例,血小板7万左右14例,另外胃肠道出血8例,鼻衄7例,BUN80mg 10例、100mg 15例、>100mg11例,Cr>4mg16例。36例中,20例经透析治疗后血红蛋白随着BUN降低而升高,同时出血停止。这表明尿毒症贫血和出血患者关键在于早期进行透析治疗,改善肾功能,降低BUN 和Cr,使贫血、出血得到纠正。同时应用雄激素肌注,增加血浆红细胞生成素活性。此外,对血红蛋白在6g 以下伴有心速者给予多次少量输入新鲜血液。口服透析者以输新鲜红细胞为宜,腹膜透析者
Our department from 1986 to 1987, uremic patients admitted to 36 cases, including 23 males and 13 females. The average age is 40 years old. Hemoglobin 6.1 ~ 8.8g in 16 cases, <6g20 cases, platelet 70,000 in about 14 cases, in addition to gastrointestinal bleeding in 8 cases, epistaxis in 7 cases, BUN80mg in 10 cases, 100mg in 15 cases,> 100mg11cases, Cr> 4mg16cases. Of the 36 patients, hemoglobin increased with increasing BUN after 20 dialysis treatments, and bleeding stopped at the same time. This shows that uremia patients with anemia and bleeding is the key to early dialysis treatment to improve renal function, reduce BUN and Cr, so that anemia, bleeding corrected. At the same time the application of androgen injection, increase plasma erythropoietin activity. In addition, hemoglobin in patients with heart rate below 6g were given a small amount of fresh blood input. Oral dialysis to lose fresh red blood cells is appropriate, peritoneal dialysis