连续性肾脏替代与间歇性血液透析治疗伴急性肾功能衰竭的多脏器功能障碍综合征的疗效比较

目的：比较连续性肾脏替代治疗（CRRT）与间歇性血液透析（IHD）治疗伴有急性肾功能衰竭（ARn的多器官功能障碍综合征（MODs）患者的疗效。方法：30例伴ARF的MODS患者，18例接受CRRT，12例接受IHD，观察每日液体摄入量，每日晨检查血电解质、血肌酐、尿素氮、血碳酸氯根浓度和血pH值。结果：CRRT组和IHD组每目液体摄人量差异有显著性（P〈0．05）。CRRT组较少出现透析相关性低血压及容量依赖性心功能衰竭，且肌酐、尿素氮、碳酸氢根、pH值较稳定（P〈0．05）。结论：CRRT治疗伴ARF的MODS患者的疗效优于IHD。

Comparison of the effect between continuous renal replacement therapy and intermittent hemodialysis in multiple organ dysfunction syndrome with acute renal failure

Obective:To explore the effect of continuous renal replacement therapy( CRRT) and intermitten hemodialysis (IHD) in multiple organ dysfunction syndrome (MODS) with acute renal failure (ARF).Methods:Of 30 MODS cases with ARF.18 received CRRT and 12 underwent IHD.In all patients,volumes of infused fluid were recorded.Blood urea nitrogen (BUN)?serum creatinine (SCr)?hydrocabonic ?serum potassium?serum sodium and artery blood PH were detected in all patients every morning after hemopurification.Results:The difference of daily intake between CRRT group and IHD group was significant (P<0.05).There was less possibility of hemodialysis related hypotension and volume dependent heart failure for CRRT group.and creatinine? urine nitrogen?HCO3-?pH value for CRRT group remained stable (P< 0. 05).Conclusion:The effect of CRRT has more advantage than that of IHD for those patients suffered from MODS with ARF.