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连续性血液净化技术应用于呼吸重症监护病房的临床分析
引用本文:张德振.连续性血液净化技术应用于呼吸重症监护病房的临床分析[J].中国医师进修杂志,2011,34(34).
作者姓名:张德振
作者单位:476100,河南省商丘市第一人民医院RICU
摘    要:目的 探讨连续性血液净化技术在呼吸重症监护病房中的临床应用价值.方法 通过对连续性血液净化技术在呼吸重症监护病房中的应用,观察患者的治疗效果.结果 15例呼吸窘迫综合征患者,在连续性血液净化前后各项血流动力学指标变化差异有统计学意义(P<0.05).5例败血症重症感染患者在经连续性血液净化治疗8~24h后,患者生命体征趋于平稳、血流动力学稳定、感染得到控制.12例多器官功能衰竭患者各系统功能得到明显的纠正,生命体征趋于平稳,血生化指标逐步得到纠正.结论 连续性血液净化技术在呼吸重症监护病房中应用,对各种疾病的治疗可以达到很好的治疗效果,各项血流动力学指标稳定,体内炎性因子得到清除,呼吸、循环、泌尿系统的功能得到很好的纠正,临床效果满意,值得在临床中广泛使用并推广.

关 键 词:重症监护病房  血液动力学过程  连续性血液净化

Clinical analysis of continuous blood purification in respiratory intensive care unit
ZHANG De-zhen.Clinical analysis of continuous blood purification in respiratory intensive care unit[J].Chinese Journal of Postgraduates of Medicine,2011,34(34).
Authors:ZHANG De-zhen
Abstract:Objective To explore the value of clinical applications of continuous blood purification technology in respiratory intensive care unit (RICU).Method The therapeutic effect of the patients was observed by the application of continuous blood purification technology in RICU.Results In 15 patients with respiratory distress syndrome,the hemodynamic parameters had changed with significant differences before and after the continuous blood purification (P <0.05).In 5 patients with severe sepsis infection underwent the continuous blood purification treatment,8-24 h later,patients had stable vital sign,stable hemodynamic,infection was controlled.In 12 patients with multiple organ failure,system function was improved,vital sign was stable and blood biochemical index was corrected.Conclusions Continuous blood purification technology in RICU can achieve very good treatment effect.The hemodynamic is stable,the inflammation factors are cleared,and respiration,circulation,urinary system function obtains the very good correct.With satisfactory effect,it should be used extensively.
Keywords:Intensive care units  Hemodynamic processes  Continuous blood purification
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