| 腹膜透析抢救急性肾功能衰竭并多器官功能障碍综合征48例分析 |
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| 引用本文： | 钟文旗,刘志华,倪娜,夏进标.腹膜透析抢救急性肾功能衰竭并多器官功能障碍综合征48例分析[J].中国综合临床,2005,21(5):424-425. |
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| 作者姓名： | 钟文旗 刘志华 倪娜 夏进标 |
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| 作者单位： | 443003,三峡大学第一临床医学院,湖北省宜昌市中心人民医院肾内科 |
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| 摘 要： | 目的 探讨腹膜透析抢救急性肾功能衰竭并多器官功能障碍综合征(MODS)患者的疗效。方法 48例急性肾功能衰竭并MODS患者在病因治疗的基础上采用持续性不卧床腹膜透析。结果 治疗后血肌酐、血尿素氯明显降低，血碳酸氢根离子、血钾离子及血钠离子全部得到纠正。结论 腹膜透析能有效地清除急性肾功能衰竭并MODS患者体内毒素，纠正酸碱平衡失调及电解质平衡紊乱，提高存活率，是抢救急性肾功能衰竭并MODS的有效治疗方法。
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| 关 键 词： | 肾功能衰竭 腹膜透析 多器官功能障碍综合征 |
| 文章编号： | 1008-6315(2005)05-0424-02 |
| 修稿时间： | 2004年11月9日 |
Analysis of 48 cases of acute renal failure complicated with multiple organs dysfunction syndrome treated by peritoneal dialysis |
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| Abstract: | Objective To evaluate the clinical efficacy of peritoneal dialysis (PD) in treating acute renal failure (ARF) complicated with multiple organs dysfunction syndrome (MODS).Methods 48 cases of ARF complicated with MODS acute renal failure complicatod with MODS were treated by continuous ambulatory peritoneal dialysis (CAPD) in addition to etiology treatment.Results After treatment,blood creatinine and urea were obviously decreased and HCO -_3,K + and Na + were completely adjusted.Conclusion PD may clear endotoxine and adjust acid-base and electrolyte balance,improve survival quality,which is the effective treatment for acute renal failure complicated with MODS. |
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| Keywords: | Renal failure Peritoneal dialysis Multiple organs dysfunction syndrome |
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