连续性肾脏替代治疗重症急性肾衰

目的：总结连续性肾脏替代（ＣＲＲＴ）在抢救３２例重症急肾衰（ＡＲＦ）过程中的临床资料，探讨其与一般血液透析比较的优势和治疗的意义，进一步提高重症急肾衰的存活率。方法：在患床旁建立血管通路，利用两个血泵，一个控制超滤量，另个补置换液。在ＣＲＲＴ的开始，中间和结束后，进行临床症状、生化和氧分压的总结与检测。结果：３２例患经过治疗，病情都得到一定程度缓解，有１９例存活，存活率达５９％。结论：ＣＲＲＴ

Continuous Renal Replacement Therapy in Severe Acute Renal Failure

Objective To investigate the advantage and therapeutic significance of continuous renal replacement therapy(CRRT) versus intermittent hemodialysis and to improve survival rate in severe acute renal failure (ARF) patients. Methods 32 patients with severe acute renal failure had been treated with CRRT,including 9 patients with CAVH, 23 patients with CVVH.Results Water, potassium,sodium and acid-base balance were maintained effectively in all patients,19 patients (59%) survived the acute phase of the illness and 13 patients (41%) died. Conclusion CRRT is effective for severe ARF patients with excellent henodynamic stability,and made it possible for improving oxygenic metabolism of tissue and clearing inflammatory medium. It is advantageous to recovery of patients with severe ARF.;