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应用连续性血液净化治疗多器官功能障碍综合征
引用本文:徐煜英,王济东.应用连续性血液净化治疗多器官功能障碍综合征[J].医学理论与实践,2002,15(8):887-889.
作者姓名:徐煜英  王济东
作者单位:南京医科大学附属淮安第一医院肾内科,江苏省,淮安市,223300
摘    要:目的:评估连续性血液净化(CBP)在救治多器官功能障碍综合征(MODS)患者中的作用。方法:采用CBP治疗MODS患者10例,观察患者治疗前后的血压、心率、血Bun、Cr、电介质和血气变化,对临床资料作回顾分析。结果:10例中治愈4例(40%),有2、3、4个器官功能衰竭的患者分别治愈2例、1例和1例,治愈率分别为100%、50%和25%。结论:CBP治疗过程中血流动力学稳定,循环衰竭的患者也能进行CBP治疗,CBP能有效纠正氮质血症和水、电介质、酸碱紊乱,明显提高MODS患者的存活率,降低死亡率。

关 键 词:连续性血液净化  多器官功能障碍综合征
修稿时间:2002年2月18日

Application of Continuous Blood Purification for Treatment of Multiorgans Dysfunction Syndrome
XU Yuying,WANG Jidong.Application of Continuous Blood Purification for Treatment of Multiorgans Dysfunction Syndrome[J].The Journal of Medical Theory and Practice,2002,15(8):887-889.
Authors:XU Yuying  WANG Jidong
Institution:XU Yuying,WANG Jidong. Department of Nephrology,the Huaian First Hospital Affiliated to Nanjing Medical University,Huaian,Jiangsu Province 223300
Abstract:Objective:To evaluate the effect of continuous blood purification(CBP) for treatment of multiorgans dysfunction syn-drome(MODS) .Methods:The levels of blood pressure, heart rate, BUN, Cr electrolyte of blood and blood gas in 10 patients before and after CBP were compared,and the clinical data were analysed retrospectively.Results: Among 10 patients with function failure of 2,3, and 4 organs, 2 cases (100% ) ,1 case(50%) and 1 case(25%) were cured respectively. Conclusion: Azotemia and disturbance of water, eletrolyte and acid-base can be corrected by CBP and survival rate increased. CBP can be also used for treating patients with circulation failure and the hemodynamics is stable during CBP.
Keywords:Continuous blood purification  Multiorgan dysfunction syndrome
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