| 连续性肾脏替代治疗对急性重症性胰腺炎治疗时机的探索 |
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| 引用本文： | 张洪波,马培龙,王锐艳,孙婷丽,杜鹃,董文鹏.连续性肾脏替代治疗对急性重症性胰腺炎治疗时机的探索[J].中国伤残医学,2012,20(2):27-28. |
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| 作者姓名： | 张洪波 马培龙 王锐艳 孙婷丽 杜鹃 董文鹏 |
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| 作者单位： | 张洪波 (大庆油田总医院肾内科,黑龙江大庆,163001) ； 马培龙 (大庆油田总医院肾内科,黑龙江大庆,163001) ； 王锐艳 (大庆油田总医院肾内科,黑龙江大庆,163001) ； 孙婷丽 (大庆油田总医院肾内科,黑龙江大庆,163001) ； 杜鹃 (大庆油田总医院肾内科,黑龙江大庆,163001) ； 董文鹏 (大庆油田总医院肾内科,黑龙江大庆,163001) ； |
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| 摘 要： | 目的:探讨连续性肾脏替代治疗对急性重症胰腺炎的时机的选择。方法:2010年10月～2011年10月大庆油田总医院ICU患重症胰腺炎住院病例36例,在常规治疗的基础上加用CRRT,观察患者的生命体征、中心静脉压、尿量、肝功、肾功、血常规、电解质、血气、28天生存率等指标。结果:行CRRT组酸中毒、尿量恢复快,28天生存率明显上升。结论:常规治疗加CRRT组能明显改善SAP的预后,尤其是未出现急性肾损伤的早期治疗效果更佳。
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| 关 键 词： | CRRT 重症胰腺炎 |
Exploration of Timing in Continuity Renel Replacement Theropy in Treatment for Severe Acute Pancreatitison |
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| Institution: | ZHANG Hong-bo,MA Pei-long,WANG Rui-yan,et al.(Derpartment of Nephrology,The General Hospital of Daqin Oil Field,163001) |
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| Abstract: | Objective:To exploration of the timing in continuity renel replacement theropy in treatment for severe acute pancreatitis.Methods:Select 36 SAP patients in the Oil field General Hospital of Daqing in 2010.10-2011.10,based on routine treatment added with CRRT,Observed patient’s life signs,the central enous pressure,urine,liver function,kidney function,blood gad analysis、28 days survival rate and so on.Results:Acidosis and urine were faster recovery in patients with CRRT,28 days survival rate was obviously higher.Conclusions:Routine treatment added with CRRT could effectively improve the prognosis of patients of SAP,the effect imight be much better especially before occurrence of acute kidney injury. |
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| Keywords: | CRRT Severe acute pancreatitis |
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