热射病合并多器官功能障碍综合征持续静-静脉血液滤过治疗的护理  

Nursing Care of Continuous Veno-venous Hemofiltration on Heat stroke Complicated with Multiple Organ Dysfunction Syndrome

作　　者：马君 王勇 姜兴禄 李民 张爱华 

机构地区：[1]解放军第422医院,广东湛江524009

出　　处：《现代生物医学进展》2011年第20期3935-3937,共3页Progress in Modern Biomedicine

摘　　要：目的:探讨热射病合并多器官功能障碍综合征(MODS)持续静-静脉血液滤过(CVVH)的治疗作用并总结护理要点。方法:回顾分析2008年5月至2010年9月,我院收治的6例热射病合并MODS,及时运用CVVH并采取综合治疗措施,对治疗和护理进行总结。结果:6例患者5例痊愈,1例死亡。通过早期积极采用CVVH联合综合治疗措施,可快速降低患者体温,防止因高热引起的恶性循环。结论:CVVH是热射病合MODS有效治疗方法,其可早期纠正电解质及酸碱紊乱,且对代谢产物和炎症因子的清除也有重要作用。期间严密的观察与护理,以及配合治疗的连续性,是成功救治这类患者的关键。Objective： To analyze the effect of continuous veno-venous hemofiltration（CVVH） in treating heat stroke（HS） patients complicated with multiple organ dysfunction syndrome（MODS） and summarize main points of nursing care. Methods： From May 2008 to September 2010, 6 patients of HS with MODS were treated with CVVH and other comprehensive measures. We summarized the treatment and care. Results： Among 6 patients, 5 patients were cured while 1 patient died. Treated with CWH and other comprehensive measures, the temperature decreased, and the infemal circle caused by hyperpyrexia was prevented, Conclusion： CVVH is an effective treatment of HS patients complicated with MODS. It can rapidly decrease the temperature and improve electrolyte or acid-base equilibrium disturbance. Besides, CVVH may be effective to remove inflammatory and metabolites. Careful nursing care measures should be employed to amend this clinical condition.

关 键 词：热射病 多器官功能障碍综合征 持续静-静脉血液滤过 护理 

分 类 号：R47[医药卫生—护理学]