Lambert M C, Schilling H
Corporate Marketing and Development, Fresenius Medical Care, Bad Homburg, Germany.
Perit Dial Int. 1999;19 Suppl 2:S499-504.
Most patients receiving renal replacement therapy have cardiovascular disease. The most frequent conditions are left ventricular hypertrophy and coronary artery disease. Hemodialysis is associated with a characteristic spectrum of acute complications (such as hypotension, sudden death) that can be explained by typical dialysis-induced effects on the heart. With continuous peritoneal dialysis (CAPD) some of the cardiovascular complications are ameliorated owing to slow ultrafiltration and absence of an arteriovenous fistula. CAPD might be concluded to be the preferable option in patients with cardiovascular disease, but a few disadvantages, such as hyperlipidemia and hyperinsulinemia, also exist. Nurses also play an important role in the therapeutic success and outcomes of these patients.
大多数接受肾脏替代治疗的患者患有心血管疾病。最常见的病症是左心室肥厚和冠状动脉疾病。血液透析与一系列典型的急性并发症（如低血压、猝死）相关，这些并发症可以用透析对心脏产生的典型影响来解释。对于持续性腹膜透析（CAPD），由于超滤缓慢且没有动静脉瘘，一些心血管并发症得到了改善。CAPD可能被认为是心血管疾病患者的首选方案，但也存在一些缺点，如高脂血症和高胰岛素血症。护士在这些患者的治疗成功及预后方面也发挥着重要作用。
