摘要
目的:探讨血液净化治疗对蜂螫伤合并多器官功能障碍综合征(MODS)的急性肾衰竭的疗效。方法:回顾性分析29例蜂螫伤合并MODS并接受血液净化治疗患者的临床病历资料,根据接受血液净化方式分为血液灌流联合血液透析滤过组(HP+HDF)、血液透析滤过组(HDF)、血液透析组(HD),比较3组的疗效。结果:HP+HDF组少尿期短,住院天数、透析次数均较HDF组、HD组少;24h内接受血液净化的患者病死率高。结论:HP+HDF治疗蜂螫伤合并MODS在缩短病程方面优于HDF和HD;早期血液净化治疗并不能降低病死率。
Objective： To investigate the therapeutic effect of blood purification on severe bee sting complicating multiple organ dysfunction syndrome （MODS）. Methods： Twenty-nine patients with severe bee sting complicating MODS treated with blood purification were analyzed retrospectively. Patients were divided into three groups： hemoperfusion ＋ hemodiafihration （HP ＋ HDF） group, hemodiafiltration （HDF） group and hemodialysis （HD） group, and the effects were compared among three groups. Results： The patients in HP＋ HDF group had a shorter oliguria stage, duration of hospital stay, hemodialysis time than the patients in HDF group and HD group. The patients who received blood purification within 24 hours had a higher mortality. Conclusions： Treatment of HP ＋ HDF is superior to HDF and HD in shortening the course of disease, but early blood purification can＇t decrease the mortality.
出处
《内科急危重症杂志》
2009年第6期297-298,共2页
Journal of Critical Care In Internal Medicine
