本文对50例老年病人维持性血透的心血管改变作临床分析,资料表明30例并发高血压患者经充分透析后20例可维持正常血压;7例好转;3例血压升高。4例心包积液者积液均消失,B超显示18例心脏内腔扩大10例恢复正常;而心肌肥厚及动脉硬化征象复检无1例改善。透析中31例曾血压降至“0”,其中13例心跳骤停,经抢救复跳。出现急性心衰4例,典型心绞痛5例,心肌梗塞1例,鉴于老年患者在血透过程可出现不同程度的低血压,本文讨论了低血压处理的要点。 This article 50 cases of elderly patients with hemodialysis cardiovascular changes in clinical analysis, the data show that 30 cases of hypertensive patients after adequate dialysis in 20 cases can maintain normal blood pressure; 7 cases improved; 3 cases of elevated blood pressure. 4 cases of effusion pericardial effusion were disappeared, B ultrasound showed that 18 cases of heart lumen enlargement in 10 cases returned to normal; and myocardial hypertrophy and signs of atherosclerosis were not improved in 1 case. Dialysis in 31 cases had blood pressure dropped to “0”, of which 13 cases of cardiac arrest, rescue resurgence. There were 4 cases of acute heart failure, 5 cases of typical angina pectoris and 1 case of myocardial infarction. In view of the different degrees of hypotension in the elderly patients during hemodialysis, this article discusses the main points of hypotensive treatment.