连续性静脉-静脉血液滤过对心肾综合征的临床疗效观察

目的：探讨连续性静脉-静脉血液滤过（continuou svenovenous hemofiltration,CVVH）对心肾综合征患者的顽固性心衰及渐进性肾衰的缓解作用。方法：采用CVVH的方法治疗心肾综合征患者16例（血滤组）,观察其治疗前后心功能及各项临床指标的变化,并与单纯应用药物治疗心肾综合征患者（对照组）作对比。结果：血滤组患者治疗后心功能及临床不适症状等均明显改善,而对照组则变化不明显,甚至加重。结论：CVVH能够显著改善心肾综合征患者的心、肾功能,且疗效确切,无明显副作用。

The observation of effect of CVVH in treating cardiorenal syndrome

Objective：To investigate the relieving effect of continuous venovenous hemofiltration（CVVH） on the refractory heart failure and progressive renal failure of cardiorenal syndrome patients.Methods：16 cardiorenal syndrome patients would be scheduled for the treatment of CVVH（hemofiltration group）,and observed the changes of heart function and various clinical indexes after the treatment.Then compared with those cardiorenal syndrome patients（control group） who acceptted the treatment of simple drugs therapy.Results：The heart function and clinical discomfort symptoms of hemofiltration group were obviously improved,but those of control group had no obvious change and even became more severe.Conclusion：CVVH can remarkably improve the heart,renal function,and the effect is exact without side effect.