[摘要]目的：探讨慢性肾衰竭(CRF)患者开始血液透析的时机及影响因素。方法：选取2006年4月-20011年1月间196例CRF患者，研究开始透析时肌酐清除率(Ccr)、血肌酐(Scr)、尿毒症症状、并发症以及首次透析的情况，分析影响透析时机的因素。结果：透析时机过晚，患者有明显尿毒症症状。结论：对早期的尿毒症患者积极做好卫生宣教，充分发挥社会与家庭的力量，尽可能让患者按透析指征及时透析，及时治疗，防止尿毒症并发症的发生，提高患者的存活率和生活质量，是临床医师的一个重要任务。

    [关键词]血液透析；慢性肾衰竭；透析指征

    [Abstract]Objective To investigate the chronic renal failure (CRF) patients starting hemodialysis and factors affecting the timing. METHODS April 2006 -20 011 196 cases between January CRF patients, when the study began dialysis creatinine clearance (Ccr), serum creatinine (Scr), uremic symptoms, complications, and the first dialysis and to analyze the impact of dialysis time factor. The results of dialysis time is too late, patients with significant symptoms of uremia. Conclusion actively carry out health education, give full play to the social and family Court’s power, indications as to timely dialysis patients by dialysis.

    [Key words]Hemodialysis; chronic renal failure; dialysis indications

    血液透析疗法[1-2]经80多年的发展 ......