连续静静脉血液透析滤过在ICU危重症中的应用  

Application of continous venovenous hemodiafiltration in ICU critical ill patients

作　　者：章隽[1] 赵呈恩 樊宏闫 冬马敏 

机构地区：[1]北京航天总医院ICU,100076

出　　处：《中国现代医药杂志》2009年第5期50-52,共3页Modern Medicine Journal of China

摘　　要：目的探讨连续静静脉血液透析滤过(CVVHDF)在救治ICU危重症患者中的应用及对患者预后的影响。方法24例重症患者均伴有不同数量脏器功能衰竭,共进行了30次的CVVHDF,对30次连续静静脉血液透析滤过前、后的血BUN、CR、血磷、氧合指数、器官功能衰竭数、APACHEⅢ评分进行监测,并进行统计学分析。同时将24例患者按其预后分成死亡组13例和生存组11例,对分组患者进行治疗前后APACHEⅢ评分和脏器功能衰竭下降比较,并进行统计分析。结果与治疗前相比,行连续血液透析滤过治疗后,血肌酐、尿素氮,明显降低,血磷降低,全身水肿明显减少,氧合指数明显升高,APACHEⅢ评分明显降低,脏器功能衰竭数降低。结论应用连续静静脉血液透析滤过治疗可以为危重症的救治赢得时间,改善脏器功能,从而改善某些疾病的预后,早期应用更为适当。Objective To study the application of continous venovenous hemodiafihration on ICU critical ill patients and the effect on the prognosis. Methods Twenty-four critical ill patients with organ failure were received continous venovenous hemodiafihration therapy thirty times. The patients＇blood urea nitrogen ,creatinine ,phosphor,oxygenic index,APACHE Ⅲ scores ,the number of dysfunctional organs before and after CVVHDF were observed. Twenty-four critical ill patients were divided into two groups survived group, 1 lpatients,and dided group,13 patients.The number of dysfunctional organs and APACHE Ⅲscores were compared. Results After receiving CVVHDF therapy,all patients＇blood urea nitrogen,creatinine,phosphor,APACHE Ⅲ scores,the number of dysfunctional organs were reduced, oxygenic indexs were improved. Conclusion Application of continous venovenous hemodiafiltration can save time for critical patients,The organs function and the prognosis also can be improved by if applied at earlier stage.

关 键 词：危重症 连续静静脉血液透析滤过 脏器功能衰竭 APACHEⅢ评分 

分 类 号：R459.5[医药卫生—治疗学]