血液净化治疗蜂螫伤合并多器官功能障碍综合征的临床观察

目的：探讨血液净化治疗对蜂螫伤合并多器官功能障碍综合征（MODS）的急性肾衰竭的疗效。方法：回顾性分析29例蜂螫伤合并MODS并接受血液净化治疗患者的临床病历资料，根据接受血液净化方式分为血液灌流联合血液透析滤过组（HP＋HDF）、血液透析滤过组（HDF）、血液透析组（HD），比较3组的疗效。结果：HP＋HDF组少尿期短，住院天数、透析次数均较HDF组、HD组少；24h内接受血液净化的患者病死率高。结论：HP＋HDF治疗蜂螫伤合并MODS在缩短病程方面优于HDF和HD；早期血液净化治疗并不能降低病死率。

Clinical Observation on Blood Purification in Treatment of Severe Bee Sting Complicating Multiple Organ Dysfunction Syndrome

Objective： To investigate the therapeutic effect of blood purification on severe bee sting complicating multiple organ dysfunction syndrome （MODS）. Methods： Twenty-nine patients with severe bee sting complicating MODS treated with blood purification were analyzed retrospectively. Patients were divided into three groups： hemoperfusion ＋ hemodiafihration （HP ＋ HDF） group, hemodiafiltration （HDF） group and hemodialysis （HD） group, and the effects were compared among three groups. Results： The patients in HP＋ HDF group had a shorter oliguria stage, duration of hospital stay, hemodialysis time than the patients in HDF group and HD group. The patients who received blood purification within 24 hours had a higher mortality. Conclusions： Treatment of HP ＋ HDF is superior to HDF and HD in shortening the course of disease, but early blood purification can＇t decrease the mortality.