血液滤过联合腹腔减压治疗危重烧伤合并腹腔间隙综合征患者的临床疗效  被引量:3

Clinical value of hemofiltration combined abdominal decompression in treatment of severe burn with abdominal compartment syndrome

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作  者:张守忠[1] 吴霞霞 余晶[1] 

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.

关 键 词:血液滤过 烧伤 腹腔间隙综合征 腹腔减压 

分 类 号:R644[医药卫生—外科学]

 

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