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连续性肾脏替代疗法治疗顽固性心力衰竭的临床观察
引用本文:李正在,徐细平,冯小坚,潘港,龙胜春. 连续性肾脏替代疗法治疗顽固性心力衰竭的临床观察[J]. 西部医学, 2010, 22(1): 56-57
作者姓名:李正在  徐细平  冯小坚  潘港  龙胜春
作者单位:岳阳市一人民医院心内科,湖南,岳阳,414000
摘    要:
目的观察连续性肾脏替代疗法(CRRT)治疗顽固性心衰的疗效。方法对我院36例经药物治疗疗效不佳的顽固性心衰患者行CRRT治疗。观察患者治疗前后临床症状和体征,血清糖类抗原125(CA125)、B型尿钠肽(BNP),左室射血分数(LVEF)。结果36例患者经过3~8天治疗后,12例疗效显著,20例治疗有效,4例治疗无效或者病情恶化及中途退出治疗,总有效率88.9%。CRRT治疗后患者血清CA125(P〈0.05)、血浆BNP(P〈0.01)明显低于治疗前,左室射血分数(P〈0.05)治疗后明显高于治疗前。结论CRRT治疗顽固性心衰疗效显著。

关 键 词:心力衰竭  充血性  肾替代疗法

Clinical observation on continuous renal replacement therapy in patients with complicated chronic heart failure
LI Zheng-zai,XU Xi-ping,FENG Xiao-jian,et al. Clinical observation on continuous renal replacement therapy in patients with complicated chronic heart failure[J]. , 2010, 22(1): 56-57
Authors:LI Zheng-zai  XU Xi-ping  FENG Xiao-jian  et al
Affiliation:LI Zheng-zai,XU Xi-ping,FENG Xiao-jian,et al(The First Hospital of Yueyang,Yueyang 41400,Hunan,China)
Abstract:
Objective To investigate the clinical efficacy of continuous renal replacement therapy(CRRT) for complicated chronic heart failure.Methods The clinical symptoms and signs,blood serum carbohydrate antigen 125(CA125),plasma B-type natriuretic peptide(BNP),left ventricular ejection fraction(LVEF) before and after CRRT of 36 patients with complicated chronic heart failure were observed.Results After 3-8 days' treatment,there were 12 patients with conspicuous therapeutic effect,20 patients with moderate therapeu...
Keywords:Heart failure  Congestive  Renal replacement therapy  
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