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| 连续性血液净化对急性呼吸窘迫综合征患者血流动力学及氧代谢的影响 | |
| 引用本文： | 梁雪玲,蒋崇慧,陆品端,郑焕城. 连续性血液净化对急性呼吸窘迫综合征患者血流动力学及氧代谢的影响[J]. 南方医科大学学报, 2010, 30(6) |
| 作者姓名： | 梁雪玲 蒋崇慧 陆品端 郑焕城 |
| 作者单位： | 中山市火炬开发区医院急诊科,广东,中山,528437;中山市人民医院急诊科,广东,中山,528403 |
| 基金项目： | 广东省中山市卫生局医学科研立项课题 |
| 摘 要： | 目的 探讨连续性血液净化对急性呼吸窘迫综合征(ARDS)患者血流动力学及氧代谢的影响.方法 选择ARDS患者21例,应用连续静脉,静脉血液滤过联合血浆置换进行治疗,治疗期间用Swant-Ganz漂浮导管监测血流动力学变化并检测氧代谢指标.结果 与连续性血液净化前比较,连续性血液净化治疗后,平均动脉压回升,心率下降,肺动脉压及肺动脉楔压也明显降低,动脉血氧分压明显上升(P<0.05).氧供及氧耗均有所增加(P<0.05),动脉血乳酸含量明显降低(P<0.05).氧摄取率无明显变化(P<0.05).结论 连续性血液净化可改善ARDS患者的全身血流动力学状况,提高患者的氧供,但对氧摄取率无明显影响. |
| 关 键 词： | 急性呼吸窘迫综合征 连续性血液净化 血流动力学 氧代谢 |
Effects of continuous blood purification on hemodynamics and oxygenation in patients with acute respiratory distress syndrome |
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| LIANG Xue-ling,JIAN Chong-hui,LU Pin-duan,ZHENG Huan-cheng. Effects of continuous blood purification on hemodynamics and oxygenation in patients with acute respiratory distress syndrome[J]. Nan Fang Yi Ke Da Xue Xue Bao, 2010, 30(6) | |
| Authors: | LIANG Xue-ling JIAN Chong-hui LU Pin-duan ZHENG Huan-cheng |
| Affiliation: | LIANG Xue-ling1,JIAN Chong-hui2,LU Pin-duan1,ZHENG Huan-cheng1 1Department of Emergency,Zhongshan 528437,China,2Department of Emergency,Zhongshan People's Hospital,Zhongshan 528403 |
| Abstract: | Objective To evaluate the effects of continuous blood purification on the hemodynamics and oxygenation in patients with acute respiratory distress syndrome(ARDS).Methods Twenty-one patients with ARDS were treated with continuous veno-venous hemofiltration(CVVH) combined with plasma exchange.Hemodynamics and oxygenation were measured or calculated at scheduled intervals usingSwan-Ganz catheters.Results The mean arterial pressure,partial pressure of arterial oxygen,oxygen delivery,oxygen consumption increased... |
| Keywords: | acute respiratory distress syndrome continuous blood purification hemodynamics oxygenation |
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