摘要
目的 :探讨连续性血液净化 (CBP)治疗在多脏器功能障碍综合征 (MODS)患者中的疗效。方法 :9例伴急性肾衰竭 (ARF)的MODS患者 ,共进行 4 3例次的连续性血液净化治疗 ,以连续性静脉 -静脉血液滤过 (CVVH)和连续性静脉 -静脉血液透析 (CVVHD)为主 ,根据病情需要加做血浆置换 (PE)或血液灌流 (HP)。连续性血液净化治疗期间随时监测血压、心率、中心静脉压等生命体征 ,根据需要检测肾功能、电解质、动脉血气、肝功能等。结果 :9例患者在连续性血液净化治疗期间 ,生命体征稳定 ,血尿素氮、肌酐、血钾等的清除较满意 ,脱水量均可达预期目标。连续性血液净化治疗未发生严重副作用。 9例患者经治疗后 2例治愈 ,1例好转出院 ,自动出院 2例 ,死亡 4例。结论 :连续性血液净化是较好的治疗多脏器功能障碍综合征的血液净化方法 ,在多脏器功能障碍综合征患者的抢救中取得了一定的疗效。
Objective:To investigate the effects of continuous blood purification(CBP)therapy on patients with multiple organs dysfumction syndrome(MODS).Methods:Nine of MODS(all accompanied with acute renal failure)patients received CBP therapy for 43 times. The main methods were Continuous veno-venous hemofiltration(CVVH)and continuous veno-venous hemodialysis(CVVHD).Plasma exchange(PE)and hemoperfusion(HP)were also applied according to the state of illnesses.The life signs(including blood pressure,central venous pressure and heart rate)were measured during CBP.Blood urea nitrogen(BUN),serum creatinine(Scr),electrolytes,liver function and blood gas analysis were measured whenever necessary.Results:The life signs of all 9 cases were stable during CBP therapy. The clearance of BUN,creatinine,serum potassium and water ultrafiltration were satisfactory.There were no severe adverse effects happened during CBP therapy.Out of 9 cases of MODS,3 cases were successfully saved,2 cases were discharged automatically and 4 cases died.Conclusion:CBP therapy is an effective for patients with MODS.
出处
《中国中西医结合肾病杂志》
2003年第9期520-522,共3页
Chinese Journal of Integrated Traditional and Western Nephrology
