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摘要： 心力衰竭在慢性肾脏病(CKD)和终末期肾病(ESRD)患者中普遍存在,其严重程度与上述患者的病死率 呈正相关。然而,由于支持相应指南的循证医学证据不足,CKD患者合并心力衰竭的治疗策略目前尚不明确。目前 大多数随机对照研究均将严重肾功能不全的人群排除在外,而现行的心力衰竭指南又以此作为循证医学证据,故适应 大多数人群的心力衰竭指南并不适合CKD合并心力衰竭的患者。
关键词: 心力衰竭,充血性, 肾疾病
Abstract:
Heart failure (HF) is highly prevalent in patients with chronic kidney disease (CKD) and endstage renal disease (ESRD) and is strongly associated with mortality in these patients. However， the treatment of HF in patients with CKD is unclear， as there is very little strong evidence to support any recommendations. Guidelines for the management of HF in the general population may not apply entirely to those with CKD， since such patients，particularly those with severe renal impairment， were quite often excluded from most of RCTs that served as a rationale for these guidelines.
Key words: heart failure, conjestive, kidney disease
谷国强,崔 炜. 慢性肾脏病合并心力衰竭的治疗[J]. 临床荟萃, doi: 10.3969/j.issn.1004-583X.2016.06.004.
Gu Guoqiang，Cui Wei. Treatment of heart failure in patients with chronic kidney disease[J]. Clinical Focus, doi: 10.3969/j.issn.1004-583X.2016.06.004.
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链接本文: https://huicui.hebmu.edu.cn/CN/10.3969/j.issn.1004-583X.2016.06.004
https://huicui.hebmu.edu.cn/CN/Y2016/V31/I6/594
