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横纹肌溶解症并发急性肾功能衰竭患者的护理
引用本文:陆云晖,陈静.横纹肌溶解症并发急性肾功能衰竭患者的护理[J].解放军护理杂志,2013,30(2):36-38.
作者姓名:陆云晖  陈静
作者单位:第二军医大学长征医院肾内科;第二军医大学长征医院肾内科血液透析室
摘    要:目的探讨横纹肌溶解症(rhabdomyolysis,RM)合并急性肾功能衰竭(acute renal failure,ARF)患者的护理方法。方法回顾性分析2010年以来第二军医大学长征医院收治的7例RM致ARF患者的临床资料,并总结其护理方法。结果所有患者均于发病48~72h内接受透析治疗。通过治疗与护理,所有患者各项肾功能指标均恢复正常,尿量增多,痊愈出院。结论加强晚夜间血液透析(hemodialysis,HD)的护理,对ARF患者的治疗具有一定的必要性与积极意义。

关 键 词:横纹肌溶解症  急性肾功能衰竭  临床护理

Nursing of Patients with Rhabdomyolosis Complicated with Acute Renal Failure
Lu Yunhui,Chen Jing.Nursing of Patients with Rhabdomyolosis Complicated with Acute Renal Failure[J].Nursing Journal of Chinese People's Liberation Army,2013,30(2):36-38.
Authors:Lu Yunhui  Chen Jing
Institution:1.Department of Nephrology,Changzheng Hospital,Second Military Medical University,Shanghai 200003,China;2.Hemodialysis Room,Department of Nephrology,Changzheng Hospital,Second Military Medical University,Shanghai 200003,China)
Abstract:Objective To investigate the nursing method of patients with rhabdomyolysis syndrome com- plicated acute renal failure. Methods The clinical data of 7 cases of rhabdomyolysis syndrome complicated acute renal failure since 2010 were analyzed retrospectively. The corresponding nursing interventions were summarized accordingly. Results All the patients accepted blood purification in the 48-72 hours after the onset of rhabdomyolysis syndrome complicated acute renal failure. The patients were discharged when all the indicators of renal function were back to normal and the urine output increased after the timely hemodi- alysis treatment and nursing care. Conclusion The late-night nursing hemodialysis has the necessity and positive significance for the treatment of patients with acute renal failure.
Keywords:rhabdomyolysis  acute renal failure  clinical nursing
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