连续性肾脏替代治疗重症急性肾衰  

Continuous Renal Replacement Therapy in Severe Acute Renal Failure

作　　者：赵显国[1] 李素珍[1] 冬敏 王瑞敏[1] 

机构地区：[1]河南医科大学一附院血液净化中心,郑州450052

出　　处：《河南职工医学院学报》2000年第1期15-16,共2页Journal of Henan Medical College For Staff and Workers

摘　　要：目的 :总结连续性肾脏替代 (CRRT)在抢救 32例重症急肾衰 (ARF)过程中的临床资料 ,探讨其与一般血液透析比较的优势和治疗的意义 ,进一步提高重症急肾衰的存活率。方法 :在患者床旁建立血管通路 ,利用两个血泵 ,一个控制超滤量 ,另个补置换液。在CRRT的开始 ,中间和结束后 ,进行临床症状、生化和氧分压的总结与检测。结果 :32例患者经过治疗 ,病情都得到一定程度缓解 ,有 19例存活 ,存活率达 5 9%。结论 :CRRT血液动力学稳定 ,能改善组织的氧代谢 ,清除炎症介质 ,使尿素氮平稳下降 ,有利于重症ARF的恢复。Objective To investigate the advantage and therapeutic significance of continuous renal replacement therapy(CRRT) versus intermittent hemodialysis and to improve survival rate in severe acute renal failure (ARF) patients. Methods 32 patients with severe acute renal failure had been treated with CRRT,including 9 patients with CAVH, 23 patients with CVVH.Results Water, potassium,sodium and acid-base balance were maintained effectively in all patients,19 patients (59%) survived the acute phase of the illness and 13 patients (41%) died. Conclusion CRRT is effective for severe ARF patients with excellent henodynamic stability,and made it possible for improving oxygenic metabolism of tissue and clearing inflammatory medium. It is advantageous to recovery of patients with severe ARF.\;

关 键 词：连续性肾脏替代 重症肾功能衰竭 存活率 

分 类 号：R692.505[医药卫生—泌尿科学]