早期高容量血液滤过治疗对感染性休克临床效果分析  

Clinical effect of early high volume blood filtration in treatment of septic shock

作　　者：苏进志 

机构地区：[1]广西北流市人民医院,广西北流537400

出　　处：《吉林医学》2016年第1期29-30,共2页Jilin Medical Journal

摘　　要：目的:探讨早期高容量血液滤过治疗对感染性休克的临床效果。方法:选择感染性休克患者共50例,分为观察组和对照组。观察组实施早期高容量血液滤过治疗,对照组实施非早期高容量血液滤过治疗。观察两组肝功能、肾功能及氧分压改变情况。观察APACHEⅡ的评分及MODS评分改变情况。结果:观察组治疗后的血清总胆红素、血清谷丙转氨酶、血清总胆红素、氧分压分别和对照组治疗后的上述指标比较,差异有统计学意义(P<0.05)。观察组治疗后的APACHEⅡ的评分及MODS评分分别和对照组治疗后比较,差异有统计学意义(P<0.05)。结论:早期高容量血液滤过治疗对感染性休克临床效果显著,值得借鉴。Objective To explore the clinical effect of early high volume blood filtration in the treatment of septic shock. Method 50 patients with septic shock were divided into observation group and control group. The observation group was treated with early high volume blood filtration treatment, and the control group was treated with non early high volume blood filtration. The changes of fiver function, renal function and oxygen partial pressure were observed in the two groups, the change of APACHE Ⅱ score and MODS score were observed. Results The serum total bilirubin, serum glutamic pyruvic transaminase, serum total bilirubin,oxygen partial pressure in the observation group after treatment compared with ＇those in the control treatment group after treatment respectively, the difference was statistically significant （ P 〈 0.05 ）. The scores of APACHE Ⅱ and MODS in the observation group after treatment compared with those in the control treatment group after treatment respectively, the difference was statistically significant（ P 〈 0.05 ）. Conclusion The early high volume blood filtration in the treatment of septic shock has significant clinical effect, it is worth of learning.

关 键 词：感染性休克 高血容量血液滤过 早期 

分 类 号：R459.7[医药卫生—急诊医学]