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连续肾脏替代治疗在难治性心力衰竭患者中应用价值探讨
引用本文:苏景强,林桂仪.连续肾脏替代治疗在难治性心力衰竭患者中应用价值探讨[J].吉林医学,2013,34(18):3544-3545.
作者姓名:苏景强  林桂仪
作者单位:苏景强 (广东省广州市番禺中心医院重症医学科,广东,广州,511400); 林桂仪 (广东省广州市番禺中心医院重症医学科,广东,广州,511400);
摘    要:目的:研究连续肾脏替代治疗(CRRT)在难治性心力衰竭患者中的应用价值。方法:32例难治性心力衰竭患者经常规药物治疗效果不佳后行CRRT,分析CRRT治疗12 h、24 h后临床症状和各指标,包括HR、RR、PaO2、SvO2、LVEF等。结果:CRRT治疗12 h、24 h后临床症状和各指标得到好转,HR、RR、PaO2、SvO2、LVEF等均较治疗前明显改善(P<0.05);未见严重并发症。结论:持续肾脏替代治疗用于难治性心力衰竭患者中安全有效。

关 键 词:连续肾脏替代治疗  难治性心力衰竭

Clinical Study of continuous renal replacement therapy in patients with refractory heart failure
SU Jing-qiang,LIN Gui-yi.Clinical Study of continuous renal replacement therapy in patients with refractory heart failure[J].Jilin Medical Journal,2013,34(18):3544-3545.
Authors:SU Jing-qiang  LIN Gui-yi
Institution:(Department of ICU,Guangzhou Panyu Central Hospital,Guangdong Guangzhou 511400)
Abstract:Objective To study the efficacy of continuous renal replacement therapy(CRRT) in patients with refractory heart failure.Methods 32 patients with refractory heart failure were treated with drugs,but had no effect.Thus,treatment was combined with CRRT.Analyze the changes of clinical symptoms and indices including HR,RR,PaO2,SvO2 and LVEF.Results With CRRT in 12 h and 24 h,both clinical symptoms and the indices were significantly improved(P<0.05) and there was no severe complication.Conclusion CRRT is a safe and effective way for patients with refractory heart failure.
Keywords:Continuous renal replacement therapy  Refractory heart failure
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