连续性静脉—静脉血液滤过在救治中的时机选择  

Occasion to Patients with Multiple Organ Dysfunction Syndrome Treated by Continuous Veno-venous Hemofiltration

作　　者：吴华雄[1] 孟新科[1] 郑晓英[1] 唐悌[1] 

机构地区：[1]深圳市第二人民医院急诊科,518029

出　　处：《岭南急诊医学杂志》2005年第4期277-278,共2页Lingnan Journal of Emergency Medicine

摘　　要：目的：探讨对多器官功能障碍综合征(MODS)患者进行连续性静脉—静脉血液滤过(CVVH)治疗的最佳时机。方法：记录32例MODS患者在使用CVVH治疗前、后24h的急性生理学与慢性健康状况(APACHEⅡ)的评分。APACHEⅡ评分按治疗前≥30分和＜30分分成两组。结果：＜30分组治疗前后APACHEⅡ评分和血肌酐值对比有显著性差异(P＜0.05)。结论：对MODS患者早期使用CVVH治疗效果好,尤其是在APACHEⅡ评分＜30分时。Objeetive： To explore the best occasion to treat Multiple Organ Dysfunction Syndrome （MODS） patients with continuous veno-venous hemofiltration （CVVH）. Methods： 32 patients with MODS were treated with CVVH. Severities of these patients were evaluated with acute physiology and chronic health evaluation （APACHE） Ⅱ scores before and after treatment respectively internal 24 hrs. Result： 32 cases classified to two groups （≥ 30 and 〈 30 scores） according to APACHE Ⅱ , there had significantly deference affect after CVVH between the two groups （P〈0.05）. Conclusion： CVVH cotdd have good effect in early MODS, especially before APACHE Ⅱ scores 〈 30.

关 键 词：急性生理学与慢性健康状况评分Ⅱ 多器官功能障碍综合征 连续性静脉—静脉血液滤过 

分 类 号：R459.7[医药卫生—急诊医学]