| 连续性血液滤过治疗老年性急性心肌梗死后合并多器官功能障碍综合征 |
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| 引用本文： | 俞宙,赖添顺,郭振辉. 连续性血液滤过治疗老年性急性心肌梗死后合并多器官功能障碍综合征[J]. 南方医科大学学报, 2010, 30(8): 1926 |
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| 作者姓名： | 俞宙 赖添顺 郭振辉 |
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| 作者单位： | 广州军区广州总医院MICU科,广东,广州510010;广州军区广州总医院MICU科,广东,广州510010;广州军区广州总医院MICU科,广东,广州510010 |
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| 摘 要： | 目的 探讨持续血液滤过(CH)对老年性急性心肌梗死(AMI)后合并多器官功能障碍综合征(MODS)患者预后的影响.方法 分析送入监护室治疗的AMI后合并MODS的老年患者34例,根据是否行CHF治疗分为CH组及非CHF组(NCH),观察并比较治疗前、治疗7d时两组患者APACHE Ⅱ评分及Marshall评分变化,并比较两组患者28 d死亡率及90d死亡率.结果 两组患者治疗前APACHE Ⅱ评分及Marshall评分无显著差异,而治疗7 d后CH组APACHE Ⅱ评分及Marshall评分均较治疗前显著降低(分别P<0.05、P<0.01),而NCH组APACHE Ⅱ评分较治疗前显著增高(P＜0.01),Marshall评分则变化不大(p＞0.05).28 d总病死率、90 d总病死率分别为41.18%、61.76%,而CH组、NCH组28 d病死率有显著差异(p<0.05);而两组90 d病死率无显著差异(p>0.05).结论 CH可改善老年性AMI后合并MODS患者器官功能状态及短期预后,但对其长期预后无改善作用.
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| 关 键 词： | 持续血液滤过 老年 急性心肌梗死 多器官功能障碍综合征 预后 |
Effect of continuous hemofiltration for treatment of multiple organ dysfunction syndrome after acute myocardial infarction in elderly patients |
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| YU Zhou,LAI Tian-shun,GUO Zhen-hui. Effect of continuous hemofiltration for treatment of multiple organ dysfunction syndrome after acute myocardial infarction in elderly patients[J]. Nan Fang Yi Ke Da Xue Xue Bao, 2010, 30(8): 1926 |
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| Authors: | YU Zhou LAI Tian-shun GUO Zhen-hui |
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| Affiliation: | YU Zhou,LAI Tian-shun,GUO Zhen-hui Medical Intensive Care Unit,Guangzhou General Hospital of Guangzhou Command,Guangzhou 510010,China |
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| Abstract: | Objective To study the effect of continuous hemofiltration (CH) on the prognosis of multiple organ dysfunction syndrome (MODS) after acute myocardial infarction (AMI) in elderly patients. Methods Thirty-four elderly patients with MODS after AMI admitted to intensive care unit (ICU) were grouped into continuous hemofiltration (CH) group and non-CH (NCH) group. The Acute Physiology and Chronic Health Evaluation (APACHEII) scores and Marshall scores were assessed upon admission in ICU and 7 days after the admi... |
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| Keywords: | continuous hemofiltration elderly patients acute myocardial infarction multiple organ dysfunction syndrome prognosis |
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