床旁连续性静脉-静脉血液滤过治疗高钠血症  

Bed-Side Continuous Veno-venous Hemofiltration for Hypernatremia

作　　者：叶贤伟[1] 温步优[1] 曾晖[1] 蔡立华[1] 覃炳军[1] 苗海锋[1] 谭文京[1] 雷雨[1] 

机构地区：[1]广东省东莞市人民医院ICU科,523018

出　　处：《实用全科医学》2004年第5期411-412,共2页Applied Journal Of General Practice

摘　　要：目的　探讨床旁连续性静脉 -静脉血液滤过治疗高钠血症的效果。方法　对 1 1例高钠血症患者行床旁CVVH治疗 ,动态观察血钠以调整置换液成分。结果　 1 1例患者经 2～ 6小时连续性静脉 -静脉血液滤过后血钠开始下降 ,6～ 2 0小时可降至正常。结论床旁连续性静脉 -静脉血液滤过治疗高钠血症效果确切 ,安全性好。Objective To evaluate the effect of bedside continuous veno-venous hemofiltration(CVVH) on patients with hypernatremin. Methods 11 patients with hypernatremia were treated with CVVH. The compositions of replaced solution were adjusted by the concentration of serum sodium. Results After hemofiltration 2 to 6 hours, the concentration of serum sodium began to decrease, and it returned to normal 6 to 20 hours later. Conclusions CVVH is a safe and effective way for hypernatremia.

关 键 词：床旁连续性静脉-静脉血液滤过 高钠血症 中心静脉压 血浆渗透压 

分 类 号：R589.4[医药卫生—内分泌] R459.5[医药卫生—内科学]