摘要
目的 :比较连续性血液净化 (CBP)与间歇性血液透析 (IHD)治疗老年急性肾功能衰竭 (ARF)的疗效、预后及并发症 .方法 :2 9例老年ARF患者 [其中伴多脏器功能衰竭 (MOF) 15例 ],12例应用IHD治疗 ,17例应用CBP治疗 (CVVH10例 ,CVVHDF 7例 ) ,置换液前稀释 15例 ,后稀释 2例 .结果 :经CBP及IHD治疗后血肌酐及尿素氮均明显下降 ,P <0 0 5 ,其中CVVHDF和IHD对溶质的清除优于CVVH组 .CBP组无 1例发生治疗低血压 ,而IHD组 4例发生透析低血压 .预后与血液净化方式、脏器衰竭数目、原发病和血液净化方式有关 .结论 :CBP在救治老年ARF ,尤其是伴有MOF时 ,是极有效的治疗方法 ,在液体平衡及血液动力学稳定方面效果优于IHD 。
Objective: To compare the efficacies between intermittent hemodialysis (IHD) and continuous blood purification (CBP) on elderly patients with acute renal failure (ARF). Methods: Of 29 elderly patients with ARF ( 15 cases with multiorgan failure), 12 cases received IHD and 17 cases underwent CBP. 2 types of CBP were performed: continuous venovenous hemafiltration (CVVH) in 10 cases and continuous venovenous hemadiafiltration (CVVHDF) in 7 cases. The substitution fluid was used by predilution in 15 patients and postdilution in 2 patients. Results: CBP can reduce the incidence of the complications of elderly patients with ARF. The mortality in elderly patients with ARF was related mainly to the numbers of organ failure, primary disease and the types of blood purification. Conclusion: CBP is the effective means for the elderly patients with ARF, it has benefits in improving fluid-balance and the clearance of azotemia.
出处
《昆明医学院学报》
2003年第2期65-67,共3页
Journal of Kunming Medical College
关键词
急性肾功能衰竭
连续性血液净化
间歇性血液透析
治疗
老年人
Continuous blood purification(CBP)
Intermittent hemodialysis(IHD)
Elderly patients
Acute renal failure(ARF)
Multiorgans failure(MOF)
