《中国康复理论与实践》

《中国康复理论与实践》 ›› 2006, Vol. 12 ›› Issue (07): 603-605.

• 临床研究 • 上一篇    下一篇

持续血液净化在多器官功能障碍综合症治疗中的应用

周飞虎; 宋青; 王秀英   

  1. 解放军总医院外科重症监护科,北京市 100853
  • 收稿日期:2006-04-12 出版日期:2006-07-01 发布日期:2006-07-01

Effect of Continuous Blood Purification on Multiple Organ Dysfunction Syndrome:33 Cases Report

ZHOU Fei-hu, SONG Qing,WANG Xiu-ying   

  1. Surgical Intensive Care Unit, General Hospital of PLA, Beijing 100853, China
  • Received:2006-04-12 Published:2006-07-01 Online:2006-07-01

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被引次数

4

摘要： 目的探讨持续血液净化疗法对多器官功能障碍综合征(MODS)治疗效果。方法将持续血液净化疗法应用于重症监护室中MODS患者33例。结果24例好转,转回普通病房;8例死亡;1例因经济原因自动出院。33例患者平均急性生理学及慢性健康状况评分Ⅱ(APACHEⅡ)评分和MODS评分均降低,氧合指数好转(P<0.05)。治疗中血流动力学稳定,血尿素氮及肌酐下降(P<0.05);但血胆红素下降不明显(P>0.05)。治疗中未发现明显的副作用。结论持续血液净化疗法对MODS患者有改善预后的作用,患者耐受性较好。

关键词: 持续血液净化疗法, 多器官功能障碍综合征, 急救

Abstract: ObjectiveTo study the effect of continuous blood purification (CBP) on the multiple organ dysfunction syndrome(MODS). MethodsContinuous blood purification were used in 33 patients with MODS. Results Among 33 patients,24 mended and 8 died. The scores of Acute Physiology And Chronic Health Evaluation (APACHE Ⅱ) and MODS obviously declined(P<0.05), as well as the BUN and blood Cr (P<0.05), but the bilirubin did not (P>0.05). The haemodynamic variables were stabilized during CBP and no obvious side-effect related to CBP was found. ConclusionThe therapy of continuous blood purification can improve the prognosis to the patients with multiple organ dysfunction syndrome. The patients were able to bear at the quality better.

Key words: continuous blood purification (CBP), multiple organ dysfunction syndrome(MODS), critical care