主动脉夹层术后急性肾功能衰竭患者的CRRT治疗效果分析  

The effect analysis of CRRT in treatment of the patients with acute renal failure of aortic dissection

作　　者：肖晶晶[1] 

机构地区：[1]武汉亚洲心脏病医院重症恢复室,湖北武汉430000

出　　处：《中国现代医生》2016年第12期78-80,共3页China Modern Doctor

摘　　要：目的探讨主动脉夹层患者外科手术后出现急性肾功能衰竭行连续性肾脏替代治疗（CRRT）的效果。方法选择我院2011年1月～2015年12月间主动脉夹层术后出现急性肾功能衰竭应用CRRT治疗的32例患者,回顾性评估肾功能、电解质、乳酸、中心静脉压、心率等相关指标变化情况。结果治疗后血p H值、动脉血氧分压较治疗前升高,肌酐、尿素氮、血钾、乳酸、中心静脉压较治疗前明显下降,差异有统计学意义（P〈0.05）;治疗前后平均动脉压和心率比较,差异无统计学意义（P〉0.05）。结论研究表明CRRT对治疗主动脉夹层术后急性肾功能衰竭患者是安全有效的。Objective To summarize the treatment effect of continuous renal replacement therapy（CRRT） for the patients with postoperative acute renal failure of aortic dissection.Methods Research analysis of our hospital from January 2011 to December 2015,32 cases postoperatively in patients with aortic dissection in acute renal failure applying CRRT treatment,the renal function,electrolytes,lactic acid,central venous pressure,heart rate and related index changes were retrospective assessed.Results After treatment the p H,arterial partial pressure of oxygen was increased,creatinine,urea nitrogen,potassium and lactic acid,central venous pressure drop were statisticallly decreased than that of before treatment,the differences were statistically significant（P〈0.05）;differences of mean arterial pressure and heart rate between before and after treatment were not statistically significant（P〈0.05）.Conclusion This research shows that CRRT is an effective safe treatment of aortic dissection in patients with acute renal failure after aortic dissection.

关 键 词：主动脉夹层 急性肾功能衰竭 连续性肾脏替代治疗 术后 

分 类 号：R654.3[医药卫生—外科学]