连续性血液滤过在急性肾衰合并多脏器衰竭患者中的应用及护理

目的通过对32例急性肾功能衰竭(acute renal failure,ARF)合并多脏器衰竭(multiple organ dysfunction,MODS)的患者进行连续性静脉-静脉血液滤过(continuous veno-venous hemofiltration,CVVH)治疗,了解CVVH对重要脏器功能和预后的影响,提高护士对伴有多脏器衰竭的急性肾功能衰竭患者抢救护理技术。方法收集2005至2006年我院对32例重症ARF合并多脏器衰竭的患者采用CVVH治疗前后的BUN、Scr及血流动力学的数据的比较。结果CVVH有利于改善重症ARF患者的肾功能,纠正电解质紊乱,对心、脑等重要脏器无明显副作用。重症ARF患者的死亡率取决于治疗开始时的疾病严重性,CVVH治疗中临床的护理抢救技术和监测非常重要,可以保证治疗的进行,提高患者的生存率。

The Effect and Nursing of Continuous Blood Purification to the Patients with Acute Renal Failure Complicated with Multiple Organ Dysfunction

Objective To realize the function and prognosis effect of continuous veno-venous hemofiltration (CVVH) to main organ through treating 32 patients with acute renal failure (ARF) complicated with multiple organ dysfunction by CVVH and improve the nursing skill to rescue the patients. Methods Make a comparison to BUN, Scr and hemodynamics data before and after CVVH from 32 patients with ARF complicated with multiple organ dysfunction during the period from 2005 to 2006 in our hospital. Results CVVH is beneficial to improve the renal function of patients with severe ARF and correct electrolyte, furthermore, no side-effect to main organs such as heart and brain. The mortality on patients with severe ARF bases on seriousness of this disease. The clinical rescue technology and monitoring are very important in CVVH, which can ensure the quality of treatment and improve the survival rate.