快速腹膜透析法抢救急危重症患者临床应用探讨  

Research for Clinical Application of Quick Peritoneal Dialysis to Salvage Serious Cases

作　　者：胡祥仁 扬贵兰 邢丽娟 王云生 吴孟华 张咏梅 任云风 

机构地区：[1]云南开远市解放军59中心医院内一科,云南开远661600

出　　处：《透析与人工器官》2004年第4期4-7,共4页Chinese Journal of Dialysis and Artificial Organs

摘　　要：目的 :探讨经皮直接穿刺插管腹透 (快速腹膜透析法 )抢救危重患者临床应用。方法 :应用快速腹膜透析技术抢救 12种危重患者 ,共计 118例进行临床观察。其中病例数较多的病种随机分为治疗组和对照组二组进行对比研究。结果 :快速腹膜透析成功 117例 ,失败 1例。救治成功 10 5例 ,成功率 88.9%。死亡 13例 ,死亡率 11.1%。其中老年性急性肾功能衰竭患者治疗组 30例 ,救治成功 2 5例 ,成功率 83.3%。死亡 5例 ,死亡率 16 .7。对照组 2 6例 ,救治成功 14例 ,成功率 5 3.8%。死亡 12例 ,死亡率 4 6 .2 %。两组救治成功率比较 X2 =4 .4 2 ,P<0 .0 5 ;以肾为主多脏器功能衰竭患者治疗组 32例 ,抢救成功 2 9例 ,成功率 90 .6 %。死亡 3例 ,死亡率 9.4 %。对照组 30例 ,抢救成功 19例 ,成功率 6 3.3%。死亡 11例 ,死亡率 36 .7%。两组比较 X2 =5 .13,P<0 .0 5。结论 :应用快速腹膜透析方法抢救某些急危重患者 ,特别是伴有肾衰竭的急危重患者 ,能使抢救成功率得到明显提高。Objective: To explore the clinical application to salvage serious cases by quick peritoneal dialysis. Methods:Sa lvage 12 kinds of serious cas es amount to 118 cases by quick peritoneal dialysis. Divide same diseases into 2 groups at random. Result:Quick peritoneal dial ysis succeed in 117 cases, fai led in 1 case. Salvage succeed in 105 cases. Success rate is 88.9%. 13 cases wer e dead.Death rate is 11.1%.Among all cases,25 cases in treated group-induding 3 0 cases of senile acute kidney failure-succeeded. Success rate is 83.3%.5 c ases in treated group were dead.Death rate is 16.7%.There were 26 cases of senile ac ute kidney failure in the contrast group.14 cases in the contrast group succeede d.Success rate is 53.8%. 12 cases in contrast group were dead. Death ra te is 46.2%. The case control studies between two groups indicated X2=4.42 and P <0.05. There were 32 cases of multiple organ mainly kidney failure in another tr eated group. 29 cases of the group succeed. Success rate is 90.6%. 3 cases were dead. Death rate is 9.4%. 19 cases in the contrast group-there were 30 cases in it-succeed. Success rate is 63.3%. 11 cases in the contrast group were dead. De a th rate is 36.7%. The case control studies between the two groups indicated X2 =5 .13 and P<0.05. Conclusion:To some serious case s especially with kidney failure, the salvage way of quick peritoneal dialysis will raise the salvage success rat e obviously.

关 键 词：腹膜透析法 临床应用探讨 危重症患者 肾功能衰竭患者 多脏器功能衰竭 急危重患者 救治成功 救急 腹膜透析技术 0.05 死亡率 抢救成功率 对照组 治疗组 穿刺插管 临床观察 对比研究 中老年性 透析方法 病例数 肾衰竭 

分 类 号：R572[医药卫生—消化系统] R222[医药卫生—内科学]