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血浆置换联合连续性血液滤过治疗重型乙型病毒性肝炎的临床观察
引用本文:陈凯红,张英,邓俊,王娟华,张喜珍,石萍霞.血浆置换联合连续性血液滤过治疗重型乙型病毒性肝炎的临床观察[J].临床消化病杂志,2008,20(6).
作者姓名:陈凯红  张英  邓俊  王娟华  张喜珍  石萍霞
作者单位:无锡市传染病医院传染病科,无锡,214005;无锡市传染病医院传染病科,无锡,214005;无锡市传染病医院传染病科,无锡,214005;无锡市传染病医院传染病科,无锡,214005;无锡市传染病医院传染病科,无锡,214005;无锡市传染病医院传染病科,无锡,214005
摘    要:目的 探讨血浆置换联合连续性血液滤过治疗重型乙型病毒性肝炎的临床疗效.方法 对22例用血浆置换联合连续性血液滤过技术治疗的患者(治疗组)与18例开展连续性血液滤过技术前单用血浆置换治疗的患者(对照组)进行治疗效果的回顾性对比分析.结果 两组治疗后肝功能均较治疗前显著好转(P<0.01).治疗组治疗后血氨显著降低(P<0.01),肝性脑病患者意识转清率为76.92%.连续性血液滤过治疗期间可见患者球结膜水肿明显减轻,持续性中枢性高热得到控制.治疗组患者的病情虽较对照组重,但治疗组治愈好转率为45.45%,与对照组相似.结论 血浆置换联合连续性血液滤过治疗重型乙型病毒性肝炎较单纯血浆置换治疗的适应证范围扩大并取得较好效果,为重型乙型病毒性肝炎患者带来了更多的生存机会.

关 键 词:重型乙型肝炎  连续性血液滤过  血浆置换

Clinical Study of the Treatment with Plasma Exchange Plus Continuous Hemofiltration Therapy on Severe Hepatitis B
CHEN Kai-hong,ZHANG Ying,DENG Jun,WANG Juan-hua,ZHANG Xi-zhen,SHI Ping-xia.Clinical Study of the Treatment with Plasma Exchange Plus Continuous Hemofiltration Therapy on Severe Hepatitis B[J].Chinese Journal of Clinical Gastroenterology,2008,20(6).
Authors:CHEN Kai-hong  ZHANG Ying  DENG Jun  WANG Juan-hua  ZHANG Xi-zhen  SHI Ping-xia
Institution:CHEN Kai-hong,ZHANG Ying,DENG Jun,WANG Juan-hua,ZHANG Xi-zhen,SHI Ping-xia.Department of Infectious Diseases,Wuxi Municipal Hospital for Infectious Diseases,Wuxi 214005,China
Abstract:Objective To evaluate efficacy of the treatment with plasma exchange plus continuous hemofiltration therapy on severe hepatitis B.Methods22 Patients(the therapy group)were treated with plasma exchange plus continuous hemofiltration therapy and 18 patients(the control group)were treated with plasma exchange on severe hepatitis B.The two groups were retrospectively analyzed.ResultsAfter treatment it was showed that liver function were markedly improved in two groups(P<0.01)and serum amino were markedly decrea...
Keywords:Continuous hemofiltration  Plasma exchange  Severe hepatitis B  
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