连续性静脉-静脉血液滤过在腹部肿瘤术后急性肾功能衰竭中的应用  

The clinical effect of continuous venovenous hemofiltration in acute renal failure patients after abdominal cancer operation

作　　者：杨全会[1] 王海军[1] 徐海燕[1] 黄初林[1] 邢学忠[1] 曲世宁[1] 王浩[1] 高勇[1] 肖庆龙[1] 孙克林[1] 

机构地区：[1]中国医学科学院肿瘤医院重症监护病房,100210

出　　处：《国际移植与血液净化杂志》2010年第3期27-29,共3页International Journal of Transplantation and Hemopurification

摘　　要：目的探讨连续性静脉．静脉血液滤过在腹部肿瘤手术后急性肾功能衰竭中应用的临床意义。方法对31例腹部肿瘤术后急性肾功能衰竭患者采用连续性静脉．静脉血液滤过治疗，比较治疗前、后电解质、血肌酐、尿素氮以及动脉血气分析的变化。结果31例患者中30例存活，1例死亡。存活患者经连续性静脉．静脉血液滤过后血尿素氨和肌酐均逐渐下降直至恢复正常；经连续性静脉-静脉血液滤过后4～5h血钾可降至正常范围；酸中毒得到纠正、动脉血氧分压明显升高，尿量分别于连续性静脉．静脉血液滤过后5～20d恢复正常，所有患者经连续性静脉．静脉血液滤过后水肿得到明显改善。结论连续性静脉．静脉血液滤过是治疗腹部肿瘤术后急性肾功能衰竭的一种有教、方便而安全的方法。Objective To evaluate the clinical effect of continuous venovenous hemofiltration （CVVH） in acute renal failure （ARF） patients after abdominal cancer operation. Methods 31 patients with ARF after abdominal cancer operation were chosen. All eases were treated with CVVH. Electrolytes, serum creatinine, blood urea nitrogen （BUN）, and blood gas analysis were detected before and after CVVH. Results 1 case out of 31 died. The levels of serum creatinine and BUN were significantly decreased after treatment. The levels of serum potassium decreased to normal level 4 to 5 hours after CVVH. In all patients acidosis was corrected, PaO2 was improved, urine volume was regain, and edema was ameliorated. Conclusion CVVH is an effective therapeutic option for ARF patients of postoperative abdominal cancer.

关 键 词：连续性静脉.静脉血液滤过 急性肾功能衰竭 腹部肿瘤 手术 

分 类 号：R692.5[医药卫生—泌尿科学]