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本文就我院１９８７年１月至１９９６年５月收治的３６例老年肾衰患者血透的疗效进行回顾性分析，并与同期随机选择的２８例成年人（年龄＜６０岁）肾衰患者的血透疗效进行对比。老年肾衰患者透析前合并症高达４０％，以心血管系统疾病居多。成年组透析前合并症２５％。透析后全部患者尿素氮、肌酐均明显下降，慢性心功能不全及代谢性酸中毒得到不同程度改善，合并高血压者透析后血压水平明显下降。尽管老年患者血液透析危险性较大，但可避免因腹膜透析而产生的腹膜并发症，能及时纠正水、电解质及酸硷平衡失调。对老年肾功能衰竭患者。掌握恰当的时机，选择适合患者病情的透析时间、超滤率及出超量，能够改善病人预后，提高生存率。
This article retrospectively analyzed the effect of hemodialysis on 36 elderly patients with renal failure admitted to our hospital from January 1987 to May 1996 and compared with those of 28 patients with renal failure (aged <60 years) randomly selected in the same period Hemodialysis efficacy comparison. Elderly patients with renal failure before dialysis complications up to 40%, mostly cardiovascular diseases. Adult pre-dialysis complications 25%. After dialysis, all patients with urea nitrogen, creatinine were significantly decreased, chronic heart failure and metabolic acidosis were improved to varying degrees, with hypertension were significantly lower blood pressure levels after dialysis. Despite the greater risk of hemodialysis among the elderly, peritoneal dialysis can be avoided peritoneal complications, timely correction of water, electrolyte and acid-base balance disorders. Elderly patients with renal failure. Grasp the appropriate timing, select the appropriate patient’s condition of dialysis time, ultrafiltration rate and out of excess, can improve the patient’s prognosis and improve survival.