CVVHDF联合活性炭血液灌流器治疗鱼胆中毒致多脏器功能障碍综合症一例  

Continuous veno-venous hemodiafiltration plus activated charcoal hemoperfusion in treatment of multiple organ dysfunction syndrome caused by fish bile poisoning:one case

作　　者：刘佩华 杨倩 刘志强[2] 梁璐[2] Liu Peihua;Yang Qian;Liu Zhiqiang;Liang Lu(Hebei University,Baoding 071000,China;Department of Emergency,Affiliated Hospital of Hebei University,Baoding 071000,China)

机构地区：[1]河北大学研究生学院,河北保定071000 [2]河北大学附属医院急诊科,河北保定071000

出　　处：《临床荟萃》2022年第8期738-742,共5页Clinical Focus

摘　　要：目的观察连续性静静脉血液透析滤过(CVVHDF)联合活性炭血液灌流治疗鱼胆中毒致多脏器功能障碍综合症(MODS)的疗效。方法对该患者进行CVVHDF联合活性炭治疗,并观察治疗后患者肝功能、心功能、凝血功能等指标的变化趋势及其疗效。结果经3次活性炭及3次CVVHDF治疗后,患者出院时肝功能、肾功能、心功能、凝血功能等指标均恢复正常或大致恢复正常。结论在其他综合治疗的基础上,应用CVVHDF联合活性炭血液灌流可以改善鱼胆中毒致MODS患者的组织器官的灌注和血液生化指标,明显改善预后及疾病转归。Objective To observe the effect of continuous veno-venous hemodiafiltration(CVVHDF)plus activated charcoal hemoperfusion in treatment of multiple organ dysfunction syndrome(MODS)caused by bile poisoning.Methods The patient was treated with CVVHDF combined with HP(activated charcoal),and the trend of liver function,kidney function,cardiac function,coagulation function and other indicators as well as its efficacy after the treatment were observed.Results After 3 HP(activated charcoal)and 3 CVVHDF treatments,the liver function,kidney function,cardiac function,coagulation function and other indicators of this patient returned to normal when discharged.Conclusion On the basis of comprehensive treatment,CVVHDF plus activated charcoal hemoperfusion and other comprehensive treatment can improve the patients’perfusion of tissues and organs and blood biochemical indicators,as well as the patients’prognosis and disease outcome.

关 键 词：多器官功能衰竭 鱼胆中毒 血液灌流(活性炭) 血液透析 

分 类 号：R365[医药卫生—病理学]