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患者男性，60岁，体重65kg，血液透析治疗3年，本次方案为：HD，碳酸氢盐透析液，电13.9，一次性透析器膜面积1.6m 2 ，透析时间4小时，超滤4kg，血流量250ml/min，低分子肝素首剂4000u，测血压132/85mmhg，脉搏89次/分。患者在透析3小时左右突然发生恶心呕吐，大汗淋漓、抽搐、意识丧失、便意等临床表现。 患者为何会出现以上表现？
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