《中国康复理论与实践》

《中国康复理论与实践》 ›› 2005, Vol. 11 ›› Issue (06): 473-474.

• 临床研究 • 上一篇    下一篇

持续肾脏替代疗法治疗老年急性肾功能衰竭的疗效

周飞虎; 宋青; 马迎民   

  1. 解放军总医院外科重症监护科 北京市 100853
  • 收稿日期:2005-04-20 出版日期:2005-06-25 发布日期:2005-06-25

Effect of continuous renal replacement therapy on the elderly patients with acute renal function failure

ZHOU Fei-hu, SONG Qing,MA Ying-min   

  1. The Department of Surgical Intensive Care Unit, The General Hospital of PLA, Beijing 100853, China
  • Received:2005-04-20 Published:2005-06-25 Online:2005-06-25

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摘要： 目的探讨持续肾脏替代疗法治疗老年急性肾功能衰竭的疗效。方法对11例老年急性肾功能衰竭患者采用持续肾脏替代疗法,平均治疗时间24.8h,置换液以前稀释方式输入,流量2～4 L/h,血流量150～250ml/min,采用普通肝素抗凝。结果11例患者中7例好转,3例死亡;所有患者治疗中血流动力学稳定,血尿素氮及肌酐均明显下降(P<0.01),未见明显副作用。结论持续肾脏替代疗法对老年急性肾功能衰竭患者有改善预后作用,不受年龄限制,患者耐受性好,是抢救老年急性肾功能衰竭的有效手段之一。

关键词: 持续肾脏替代疗法, 急性肾功能衰竭, 老年人

Abstract: ObjectiveTo investigate the effect of continuous renal replacement therapy (CRRT) on the elderly patients with acute renal function failure.Methods11 elderly patients with acute renal function failure were treated with continuous renal replacement therapy. The average time of CRRT was 24.8 h. The ultrafiltration rate during CRRT was 2～4 L/h and blood flow rate was 150～250 ml/min. Normal heparin was used as anticoagulant.ResultsAmong 11 patients, 7 were mend, 3 died. The blood urea nitrogen (BUN) and creatinine (Cr) levels of all patients obviously declined (P<0.01). The haemodynamic variables of all patients were stabilized during CRRT and no obvious side-effect related to CRRT was found.ConclusionThe treatment of CRRT can improve the sufferer prognosis to the elderly patients with acute renal function failure, not restricted by age, and is the effective means to the elderly patients with acute renal function failure.

Key words: continuous renal replacement therapy, acute renal function failure, the elderly