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连续性静脉静脉血液滤过治疗肝肾综合征的临床研究
引用本文:李靖,肖琼,韩志武,夏小红,涂娟,王芳,徐友平,姚国乾. 连续性静脉静脉血液滤过治疗肝肾综合征的临床研究[J]. 中西医结合肝病杂志, 2012, 22(2): 87-88,103
作者姓名:李靖  肖琼  韩志武  夏小红  涂娟  王芳  徐友平  姚国乾
作者单位:中国人民解放军第161医院全军血液净化中心 湖北武汉,430010
摘    要:目的:观察连续性静脉静脉血液滤过(continuous venovenous hemofiltration,CVVH)治疗肝肾综合征(hepatorenal syndrome,HRS)的疗效。方法:32例HRS患者随机分为两组,治疗组16例采用CVVH治疗,对照组16例采用单纯药物治疗,两组患者均接收一般内科治疗。结果:治疗后治疗组患者肾功能、电解质、平均动脉压的改善水平与对照组相比,差异有显著性意义(P<0.05);生存率较对照组高,差异有显著性意义(P<0.05)。结论:CV-VH是治疗肝硬化并发HRS的有效方法。

关 键 词:肝肾综合征  连续性静脉静脉血液滤过  肝硬化

Clinlic study of continuous venovenous hemofiltration in treatment of hepatorenal syndrome
LI JING , XIAO QIONG , HAN ZHI-WU , XIA XIAO-HONG , TU JUAN , WANG FANG , XU YOU-PING , YAO GUO-QIAN. Clinlic study of continuous venovenous hemofiltration in treatment of hepatorenal syndrome[J]. Chinese Journal of Integrated Traditonal and Western Medicine on Liver Diseases, 2012, 22(2): 87-88,103
Authors:LI JING    XIAO QIONG    HAN ZHI-WU    XIA XIAO-HONG    TU JUAN    WANG FANG    XU YOU-PING    YAO GUO-QIAN
Affiliation:LI JING,XIAO QIONG,HAN ZHI-WU,et al.Blood Purification Center of PLA,the 161st Hospital(Wuhan Hubei,430010)China
Abstract:Objective: To evaluate the effect of continuous venovenous hemofiltration(CVVH) in the treatment of hepatorenal syndrome.Methods: A total of 32 patients with hepatorenal syndrome were divided into 2 groups randomly.The group A(n=16) was treated with CVVH.The group B(n=16) was treated with general medical therapy.Both groups received the basic treatment.Results: Renal function tests,serum electrolyte level,mean arterial and survival rate were much better in patients with CVVH therapy than those in patients with general medical therapy alone.Conclusion:CVVH is an effective way in the treatment of hepatorenal syndrome.
Keywords:hepatorenal syndrome  continuous venovenous hemofiltration  liver cirrhosis
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