| 高容量血液滤过治疗重症创伤后多器官功能障碍的护理体会 |
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| 引用本文： | 向可翠,罗静,孙芹,梁瑜,杨婷,高秀梅.高容量血液滤过治疗重症创伤后多器官功能障碍的护理体会[J].解放军护理杂志,2012,29(13):52-53,66. |
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| 作者姓名： | 向可翠 罗静 孙芹 梁瑜 杨婷 高秀梅 |
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| 作者单位： | 成都军区总医院,心胸外科ICU,四川,成都,610083 |
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| 摘 要： | 目的总结高容量血液滤过(high volume hemofiltration,HVHF)治疗重症创伤后多器官功能障碍综合征(multipleorgan dysfunction syndrome,MODS)的疗效和护理方法。方法回顾性分析成都军区总医院自2004-2011年行HVHF治疗的82例重症创伤后MODS患者,总结其临床资料及护理经验。结果 82例患者中好转43例,死亡39例,病死率为47.5%;HVHF治疗后Cr、氧合指数、MAP均明显改善。结论 HVHF可有效治疗重症创伤后MODS;高质量的护理可保证HVHF的安全、顺利进行。
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| 关 键 词： | 重症创伤 多器官功能障碍综合征 高容量血液滤过 护理 |
Nursing Experience of High Volume Hemofiltration in Patients with Multiple Organ Dysfunction Syndrome after Severe Trauma |
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| XIANG Ke-cui
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LUO Jing
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SUN Qin
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LIANG Yu
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YANG Ting
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GAO Xiu-mei.Nursing Experience of High Volume Hemofiltration in Patients with Multiple Organ Dysfunction Syndrome after Severe Trauma[J].Nursing Journal of Chinese People's Liberation Army,2012,29(13):52-53,66. |
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| Authors: | XIANG Ke-cui LUO Jing SUN Qin LIANG Yu YANG Ting GAO Xiu-mei |
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| Institution: | (ICU, Department of Cardiothoracic Surgery, General Hospital of Chengdu Military Command, Chengdu 610083,China) |
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| Abstract: | Objective To summarize the effect and nursing experience of high volume hemofiltration （HVHF） in patients with multiple organ dysfunction syndrome（MODS） after severe trauma. Methods The clinical data of 82 MODS patients after severe trauma undergoing HVHF between January 2004 to Octother 2010 from the hospital were retrospectively studied. Results In the 82 patients,43 cases were improved and 39 cases died,with the mortality of 47.5%. The Cr level,oxygenation index,MAP were significantly improved after HVHF. Conclusion HVHF is an effective measure for patients with MODS after severe trauma. High quality nursing is essential for the safe and smooth HVHF. |
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| Keywords: | severe trauma multiple organ dysfunction syndrome high volume hemofiltration nursing |
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