连续性肾脏替代治疗在ICU危重病中的应用  

Application of Continuous Renal Replacement Therapy in Treatment of Critical Ill Patients in ICU

作　　者：刘云龙[1] 汪勇[1] 聂保忠 马宁[1] 刘虎[1] 

机构地区：[1]安徽省淮北矿工总医院ICU,235000

出　　处：《中华全科医学》2009年第1期51-52,共2页Chinese Journal of General Practice

摘　　要：目的观察连续性肾脏替代治疗(CRRT)在ICU危重病中应用的临床疗效和对预后的影响。方法对8例危重病患者,除给予常规治疗外,同时进行CRRT,测定CRRT治疗前后血清尿素氮(BUN)、肌酐(SCr)及血清电解质钾、钠、氯等变化。结果8例患者经CRRT治疗后,BUN、SCr均下降,3例患者治愈,2例患者生命体征恢复平稳,1例患者死于多器官功能衰竭。结论危重病患者应用CRRT治疗,可以稳定机体内环境,清除代谢废物,调节水、电解质及酸碱平衡,减轻全身炎症反应综合征(SIRS)的发生发展,达到提高生存率的目的。Objective To probe into the clinical effect of continuous renal replacement therapy（CRRT） on critical illnesses. Methods 8 patients were treated by CRRT besides the conventional treatment. The BUN,SCr,K^＋ ,Na^＋ ,Cl^- were detected before and after CRRT. Results 8 patients after CRRT, the BUN, SCr decreased. 3 patients were cured,2 patients became stable in vital signs, 1 patient died of multiple organ failure. Conclusion The application of CRRT in the treatment of eritieally ill patients can stabilize the inner environment, eliminate the metabolic wastes, regulate the balance of water, electrolyte and acid-base, reduce the development of SIRS, and then improve the survival rate of the patients.

关 键 词：连续性肾替代治疗 危重病 多器官功能衰竭 

分 类 号：R459.52[医药卫生—治疗学]