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连续性静脉-静脉血液透析用于重症肾综合征出血热合并急性呼吸窘迫综合征治疗中的临床分析
引用本文:梁超,杜娜. 连续性静脉-静脉血液透析用于重症肾综合征出血热合并急性呼吸窘迫综合征治疗中的临床分析[J]. 现代预防医学, 2011, 38(20): 4290-4291
作者姓名:梁超  杜娜
作者单位:辽宁医学院附属第一医院危重症医学科,锦州,121000
摘    要:
[目的]研究探讨连续性静脉-静脉血液透析技术在重症肾综合征出血热(HFRS)合并急性呼吸窘迫综合征(ARDS)患者治疗中的临床疗效。[方法]对我院自2007年1月~2010年12月所收治的进行连续性静脉-静脉血液透析治疗的129例HFRS患者的临床资料进行回顾性分析。[结果]采用连续性静脉-静脉血液透析治疗,经12h后,氧合指数(PO2/FiO2)有所提高,经24h后,平均动脉压与体温有明显下降(P﹤0.05),治疗发现HFRS合并ARDS的发生率达5.96%,而对于合并轻度ARDS患者的发生率为16.8%,中度为59.8%,重度为90.1%。[结论]采用连续性静脉-静脉血液透析治疗重症肾综合征出血热合并急性呼吸窘迫综合征,临床症状改善,降低了死亡率。

关 键 词:重症肾综合征出血热  连续性静脉-静脉血液透析  急性呼吸窘迫综合征

CLINICAL ANALYSIS OF CONTINUOUS VENO-VENOUS HEMODIALYSIS IN TREATMENT OF SEVERE HEMORRHAGIC FEVER WITH RENAL SYNDROME(HFRS)PATIENTS WITH ACUTE RESPIRATORY DISTRESS SYNDROME(ARDS)PATIENTS
LIANG Chao,DU Na. CLINICAL ANALYSIS OF CONTINUOUS VENO-VENOUS HEMODIALYSIS IN TREATMENT OF SEVERE HEMORRHAGIC FEVER WITH RENAL SYNDROME(HFRS)PATIENTS WITH ACUTE RESPIRATORY DISTRESS SYNDROME(ARDS)PATIENTS[J]. Modern Preventive Medicine, 2011, 38(20): 4290-4291
Authors:LIANG Chao  DU Na
Affiliation:LIANG Chao,DU Na.(the First Affiliated Hospital,Liaoning Medical University,Jinzhou 121000,China)
Abstract:
[Objective]To investigate the clinical efficacy of continuous veno - venous hemodialysis in severe hemorrhagic fever with renal syndrome(HFRS)patients with acute respiratory distress syndrome(ARDS)patients.[Methods]From January 2007-December 2010,we collected 129 cases of HFRS who underwent continuous veno - venous hemodialysis,and the clinic data of them were retrospectively analyzed.[Results]With continuous veno-venous hemodialysis for 12h,the oxygenation index(PO2/FiO2)increased by 24h,mean arterial pres...
Keywords:Severe hemorrhagic fever with renal syndrome  Continuous veno - venous hemodialysis  Acute respiratory distress syndrome  
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