| 连续动静脉血液滤过治疗危重病32例结果分析 |
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| 引用本文： | 朱鸣,沈琴儿,周彩华.连续动静脉血液滤过治疗危重病32例结果分析[J].中华急诊医学杂志,1997(1). |
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| 作者姓名： | 朱鸣 沈琴儿 周彩华 |
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| 作者单位： | 浙江省湖州市第一医院肾内科 浙江湖州313000
(朱鸣，沈琴儿)，浙江省湖州市第一医院肾内科 浙江湖州313000(周彩华) |
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| 摘 要： | 本文应用连续动静脉血液滤过(CAVH)系列中的连续静脉静脉血液滤过(CVVH)及连续静脉静脉血液透析滤过(CVVH DF)治疗危重病人32例.结果表明,CAVH系列能有效地解除过度的水负荷,其平均超滤率达622ml/h,对血尿素氮、肌酐也有较好的清除,与治疗前相比,差异显著(P<0.01),而心血管并发症少.提示CAVH方法能较好地配合用于多器官功能衰竭等一类危重病的治疗.
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| 关 键 词： | 连续动静脉血液滤过 多器官功能衰竭 |
CONTINUOUS ARTERIOVENOUS HEMOFILTRATION IN PATIENTS WITH CRITICAL DISORDERS: A STUDY OF 32 CASES |
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| Zhu Ming,Shen Qinger,Zhou Caihua.CONTINUOUS ARTERIOVENOUS HEMOFILTRATION IN PATIENTS WITH CRITICAL DISORDERS: A STUDY OF 32 CASES[J].Chinese Journal of Emergency Medicine,1997(1). |
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| Authors: | Zhu Ming Shen Qinger Zhou Caihua |
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| Institution: | Zhu Ming,Shen Qinger,Zhou Caihua. Department of Nephrology,Houzhou No. I Hospital,Houzhou,Zhejiang 313000 |
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| Abstract: | Continuous arteriovenous hemof-iltration (CAVH) series including continuous venoveno hemofiltration(CVVH) and continuous venoveno hemodiafiltration (CVVHDF) were used in 32 patients with critical disorders.The results showed that excess fluid can be effectively removed by CAVH series, in which mean ultrafiltration rate is up to 622 ml per hour. Serum concentration of BUN/Cr is reduced as compared with that before CAVH (P< 0. 01). The cardiovascular disadvantages of CAVH are rare. It is indicated that CAVH can be well used in patients with critical disorders such as multiple organ failure (MOF). |
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| Keywords: | CAVH MOF |
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