| 连续静脉-静脉血液滤过对多脏器功能障碍综合征血流动力学的影响 |
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| 引用本文： | 蒋崇慧,谢钢,郑伟华,徐华,程少均,梁宏开.连续静脉-静脉血液滤过对多脏器功能障碍综合征血流动力学的影响[J].内科急危重症杂志,2004,10(3):124-125,140. |
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| 作者姓名： | 蒋崇慧 谢钢 郑伟华 徐华 程少均 梁宏开 |
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| 作者单位： | 广东省中山市人民医院,中山,528400 |
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| 摘 要： | 目的 :探讨连续静脉 静脉血液滤过对多脏器功能障碍综合征 (MODS)患者血流动力学的影响。方法 :选择MODS患者 19例 ,应用连续静脉 静脉血液滤过 (CVVH)进行治疗 ,治疗期间用Swan Ganz漂浮导管监测血流动力学变化。结果 :与CVVH前比较 ,CVVH治疗后 ,体血管阻力指数明显改善 ,平均动脉压回升 ,心率下降 ,肺动脉楔压也明显降低。结论 :CVVH可改善MODS患者的全身血流动力学状况 ,提高患者的氧供 ,但对氧摄取率无明显影响
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| 关 键 词： | 连续静脉-静脉血液滤过 多脏器功能障碍综合征 血流动力学 |
| 修稿时间： | 2004年7月4日 |
Effects of Continuous Veno-venous Hemofiltration on Hemodynamics in Patients With Multiple Organ Dysfunction Syndrome |
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| JIANG Chonghui,XIE Gang,ZHENG Weihua,et al..Effects of Continuous Veno-venous Hemofiltration on Hemodynamics in Patients With Multiple Organ Dysfunction Syndrome[J].Journal of Internal Intensive Medicine,2004,10(3):124-125,140. |
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| Authors: | JIANG Chonghui XIE Gang ZHENG Weihua |
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| Institution: | JIANG Chonghui,XIE Gang,ZHENG Weihua,et al. Zhongshan People's Hospital,Zhongshan 528400,China |
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| Abstract: | Objective:To evaluate the effects of continuous veno-venous hemofiltration on (CVVH) hemodynamics in patients with multiple organ dysfunction syndrome (MODS). Methods: Nineteen patients with MODS were selected and treated with CVVH. Hemodynamics were measured or calculated at scheduled intervals by use of Swan-Ganz catheters. Results: Indices of systemic vascular resistance improved and mean arterial pressure increased, heart rate, and pulmonary capillary wedge pressure decreased significantly after treatment compared to that of before treatment. Conclusion: Continuous veno-venous hemofiltration can improve the status of hemodynamics and increase systemic blood and oxygen supply for patients with MODS,but without obvious effect on oxygen uptake rate. |
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| Keywords: | Continuous veno-venous hemofiltration Multiple organ dysfunction syndrome Hemodynamics |
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