连续性肾脏替代治疗在重症急性肾衰及多器官功能障碍综合征中的应用  

Clinical study of continuous renal replacement therapy in the treatment of severe acute renal failure and multiple organ dysfunction syndrome

作　　者：陈小波[1] 祁华[1] 王蓓[1] 岳琴琴[1] 

机构地区：[1]兰州军区乌鲁木齐总医院血透中心,新疆乌鲁木齐830000

出　　处：《西北国防医学杂志》2003年第3期205-207,共3页Medical Journal of National Defending Forces in Northwest China

摘　　要：目的 :评估连续性肾脏替代治疗 (CRRT)在救治重症急性肾衰 (ARF)及多器官功能障碍综合征 (MODS)中的作用和疗效。方法 :回顾性分析我院 6例MODS患者 2 1例次CRRT治疗的临床资料 ,观察患者治疗前后血肌酐、尿素氮、电解质和血气的变化及血压、心率的改变。结果 :治愈 2例 ,死亡 4例。结论 :CRRT设备简单 ,操作方便 ,能有效纠正危重患者液体平衡、纠正酸中毒和电解质紊乱 ,治疗中血流动力学稳定 。Objective:To study the clinical effects of continuous renal replacement therapy(CRRT)in the treatment of severe acute renal failure(ARF)and multiple organ dysfunction syndrome(MODS).Methods:Six patients were treated with CRRT,including 3 cases with continuous venous-venous hemofiltration(CVVH),3 cases with continuous venous-venous hemodiafiltration(CVVHDF).Results:Two patients survived and four died. Electrolue and acid-base balance were maintained effectively in all patients. Conclusion:CRRT is effective for severe ARF and MODS with excellent hemodynamic stability,and make it possible for the treatment of underlying disease and total paraenterol nutrition therapy therefore improves the prognosis.

关 键 词：急性肾功能衰竭 连续性肾脏替代治疗 多器官功能障碍综合征 

分 类 号：R692.5[医药卫生—泌尿科学]