早期连续血液滤过治疗慢性肾衰竭并脓毒血症效果  

EARLY CONTINUOUS HEMOFILTRATION IN THE TREATMENT OF CHRONIC RENAL FAILURE COMPLICATED WITH PYEMIA

作　　者：马建华[1] 杨瑛[1] 宋熔[1] 包小霞[1] 牛芳[1] 

机构地区：[1]中国人民解放军第五医院ICU,宁夏银川750004

出　　处：《齐鲁医学杂志》2014年第1期38-39,42,共3页Medical Journal of Qilu

摘　　要：目的探讨早期连续血液滤过治疗慢性肾衰竭并发严重脓毒血症的效果。方法对12例慢性肾衰竭并发严重脓毒血症病人均在常规治疗的基础上实施早期连续血液滤过治疗。结果 12例病人均存活,入院前APACHEⅡ评分与出院时比较,差异有显著性(t′=17.82,P<0.05);多脏器功能障碍综合征、呼吸衰竭、休克及低氧血症基本得到纠正。结论慢性肾衰竭并发严重脓毒血症病人通过早期连续血液滤过治疗,可改善其长期预后,降低病死率。Objective To assess the efficacy of early continuous hemofiltration（CH）in the treatment of chronic renal failure（CRF）complicated with pyemia. Methods Twelve patients with CRF complicated with pyemia were treated with an early CH in addition to a conventional therapy. Results All the 12patients survived.A comparison of APACHEⅡscore between before admission and on discharge showed a significant difference（t′=17.82,P0.05）.Multiple organ failure,respiratory failure,shock and hypoxemia were basically corrected. Conclusion A long-term prognosis of patients with CRF complicated with pyemia can be improved and their fatality rate lowered through an early continuous hemofiltration therapy.

关 键 词：肾衰竭 慢性 毒血症 血液滤过 治疗结果 

分 类 号：R459.5[医药卫生—治疗学]