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机构地区:[1]江西省九江市第一人民医院烧伤科,九江332000
出 处:《江西医药》2008年第7期649-651,共3页Jiangxi Medical Journal
摘 要:目的探讨血液滤过联合腹腔减压对危重烧伤合并腹腔间隙综合征(ACS)患者的治疗效果,寻求这类疾病有效的治疗手段。方法21例危重烧伤合并ACS患者,按治疗方法的不同,分为对照组(n=11)和治疗组(n=10)。对照组行腹腔减压治疗,治疗组在腹腔减压治疗的基础上再行血液滤过治疗。记录两组患者治疗前后生命体征、氧合指数、APACHE评分等资料。结果治疗组与对照组比较,患者临床症状明显好转,器官功能改善,氧合指数上升,APACHEⅡ评分下降,死亡风险降低。结论血液滤过联合腹腔减压治疗危重烧伤合并ACS患者,可以明显缓解临床症状,保护组织器官功能,降低死亡风险。Objective To explore the curative effects of hemofiltration combined abdominal decompression on with severe burn with abdominal compartment syndrome (ACS).Methods Twenty-one patients with severe burn with ACS were treated by abdominal decom- pression,and ten patients of all were accepted hemofiltration therapy.During the therapy,life sign,PaO2/FiO2 and APACHEⅡ scores were registered.Results Compared with control group,the clinical symptom and organ function of hemofiltration group were improved, PaO2/FiO2 were raised,APACHE Ⅱ scores and death risk were declined.Conclusion Hemofihration combined abdominal decompression on severe burns with ACS can improve clinical symptom, protect the organs function,and decline the death risk.
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