血透加氧光疗法抢救尿毒症并急性左心衰肺水肿初探  

Study on the effection of haemodialysis together with ultraviolet blood irradiation on treating uremia with acute left heart failure and pulmonary edima

作　　者：郑会丰[1] 曾斌[1] 陈伟珍[1] 林奕丽 廖丽娟[1] 谢明明[1] 

机构地区：[1]广东省汕头市第二人民医院,515011

出　　处：《中国医学创新》2009年第8期1-2,共2页Medical Innovation of China

基　　金：汕头市重点科技计划项目[汕府科2003（126）]

摘　　要：目的 探讨血液透析（血透）加紫外线光量子照射疗法（氧光疗法）在尿毒症并发急性左心衰肺水肿中的疗效。方法 治疗组30例，血透初始阶段于常规血透通路静脉段放血，每次200～300ml，进行氧光化后，从血透通路的动脉段回输入患者体内，每半小时1次，每例连续做1～3次不等，同时观察血压、血氧饱和度、呼吸频率、心率及肺部罗音，透析前后测血Bun、Cr等，并与单纯行血透的28例尿毒症并急性左心衰肺水肿患者作对比（对照组）。结果 治疗组较对照组患者在短时间内呼吸急促、心衰很快得到控制，血氧饱和度迅速提高，血Bun、Cr在短时间内下降。结论 血透加氧光疗法不但能较快解除尿毒症症状，又能在短时间内控制急性左心衰肺水肿，值得临床推广应用。Objective To explore the effection of haemodialysis together with ultraviolet blood irradiation on chronic renal failure patients with acute left heart failure and pulmonary edima. Methods 30 cases received their 200 - 300 ml self blood transfusion once half an hour for 1 - 3 times that had been lef from their dialysis venous line at the flint of their haemodialysis and operated with ultraviolet light irradiation. Results Compared with the control group, heart failure and respiration was rapidly improved in all patients. The arterial blood oxygen saturation （ SPO2 ） was significantly increased soon after the blood transfusion began. Uremic toxin was eliminated effectively before long. Conclusion This study indicated that haemodialysis together with ultraviolet blood irradiation is an effective therapeutic method for chronic renal failure with acute left heart failure and the therapy is recommended in clinical application.

关 键 词：血透 氧光疗法 尿毒症 急性左心衰 肺水肿 非透析治疗 

分 类 号：R541.6[医药卫生—心血管疾病] R459.5[医药卫生—内科学]