MODS patients with continuous blood purification therapy efficacy.doc

 PAGE \* MERGEFORMAT 6 MODS patients with continuous blood purification therapy efficacy [Keywords:] MODS efficacy of continuous blood purification Multiple organ dysfunction syndrome (MODS) is a serious wound infection, the simultaneous or sequential emergence of 2 or more than 2 organ system dysfunction or failure of the clinical syndrome. MODS in patients with two organ failure and mortality rate was 50 % to 60%, while 4 or more than 4 organ failure are almost 100% mortality [1]. recent years with blood purification in the treatment of patients with MODS, MODS had significantly reduced mortality , MODS has now become an important and effective control methods. I use continuous blood purification (CBP) patients treated 20 cases of MODS, and achieved satisfactory results, are as follows. 1 Materials and Methods 1.1 General Information 12 male patients, 8 females, aged 29 to 60 years, mean age (38.5 + -12) years. Severe combined injuries in 4 cases surgical, gynecological surgery DIC 1 patients, 4 cases of severe acute pancreatitis, acute poisoning 3 cases of epidemic hemorrhagic fever in 2 cases, 1 case of swine flu, acute respiratory distress syndrome (ARDS) 4 cases of heart failure with shock in 1. complicated by two organ failure in 10 cases, 7 cases of organ failure 3, 4 one organ failure 3. 1.2 Methods All patients are given active medicine on the basis of traditional treatment CBP. Substitution fluid by continuous veno-venous hemofiltration for a (CVVH) mode with automatic intelligent PlasautoIQ blood purification device, mold material for AN69, membrane area 1.4m2. replacement fluid with 0.9% NS 2000ml, 10% CaCl 10ml, 50% MgSO4 1ml, 10% KCl 5ml, 5% GS 500ml, 5% NaHCO3 125ml as a replacement fluid. electrolyte, according to illness adjustment, replacement fluids are used input before the dilution method. blood flow 180 ~ 250ml/min. ultrafiltration volume per hour, .12 cases according to specific conditions set by low molecular weight hepar