连续性血液净化治疗中低体温发生的临床护理进展  

Clinical nursing progress of continuous blood purification related hypothermia

作　　者：王好[1] 郑凌[1] 吕桂兰[1] 

机构地区：[1]南京军区南京总医院国家肾脏疾病临床医学研究中心全军肾脏病研究所,南京210002

出　　处：《医学研究生学报》2015年第12期1333-1336,共4页Journal of Medical Postgraduates

基　　金：南京军区医学创新课题(12MA079)

摘　　要：连续性血液净化(continuous blood purification,CBP)作为一种多脏器保护及生命支持手段已广泛应用于危重症患者的救治中。2012年"透析创伤"的概念被提出后,CBP相关并发症越来越受到临床重视。CBP治疗中体外循环的热量丢失可造成患者体温下降,产生降温效应,其利弊尚存争论。持续低体温导致的生理功能改变不利于危重症患者预后,但临床实践中目前尚无针对这一并发症的相关指南或建议。文中通过回顾CBP治疗中低体温相关研究的方法与结果,探讨合理管理CBP治疗的有效措施,减少CBP相关并发症的发生。Continuous blood purification therapy,one of the most popular multiple organ protection and life support technology,has been widely used in the treatment of critical illness. After the initial introduction of the concept of dialytrauma or CRRT trauma in2012,the related complications are getting more and more attention. The loss of heat caused by CBP may lead to hypothermia. However,to critically ill patients,controversy still reigns on the influence of this issue. There is no guideline developed through clinical practice to define such issue. This article reviews the methods as well as results of related clinical studies to discuss how to manage the hypothermia during CBP.

关 键 词：连续性血液净化 低体温 危重病 

分 类 号：R459.7[医药卫生—急诊医学]