连续性肾脏替代治疗I型心肾综合征患者的临床分析.DOC

连续性肾脏替代治疗I型心肾综合征患者的临床分析 215006 苏州，苏州大学医学部（李军辉）；200233 上海，上海交通大学附属第六人民医院肾内科（李军辉 盛晓华 程东生 费杨 刘玉梅 范瑛 汪年松） 基金项目、上海市卫生和计划生育委员会课题（201440531）、上海市科委重大课题（11DZ1973103）科研基金资助 通讯作者：盛晓华 xiaohuasheng@ 汪年松 wangniansong2012@163.com 【摘要：目的 分析行连续性肾脏替代治疗I型心肾综合征患者的临床特征及预后。方法上海交通大学附属第六人民医院2009年月2014年月住院行I型回顾性分析I型结果I型AKI 2期7例(20%)AKI 3期28例(80%), 平均器官衰竭数为3.6个，APACHE II评分为24.9分(48.6%)，死亡18例(51.4%)，两组比较，在年龄、心功能分级、平均器官衰竭数目、APACHE II评分平均动脉压平均血小板体积、血尿素氮血糖升压药应用(P＜0.05)。 结论行I型APACHE II评分 【关键词 连续性肾脏替代治疗心肾综合征住院 Clinical analysis of continuous renal replacement therapy for patients with cardiorenal syndrome type 1 LI Junhui, SHENG Xiaohua, CHENG Dongsheng, FEI Yang, LIU Yumei, WANG Niansong. 　School of Medicine, Soochow University, Suzhou, Jiangsu 215006, China; Department of Nephrology, Shanghai Jiaotong University Affiliated Sixth People’s Hospital, Shanghai 200233, China Corresponding author : SHENG Xiaohua(E-mail: xiaohuasheng@) and WANG Niansong(E-mail: wangniansong2012@163.com ). 【Abstract】 Objective The aim of this study was to analyze the risk factor and prognosis of continuous renal replacement therapy(CRRT)for patients with cardiorenal syndrome type 1(type 1 CRS )．Methods We recruited 35 type 1 CRS patients in our hospital from February 2009 to September 2014. All the patients received CRRT. Clinical data of adult patients were retrospectively analyzed. Results In the 35 patients who received CRRT, the percentage of stage II, stage III AKI were 20% and 80%, respectively. The average number of organ failure was 3.6. The score of APACHE II was 24.9. Of the 35 patients in the period of investigation, 17 patients (48.6%) were survived and 18 patients (51.4%) were dead. There were significant difference in age, cardiac function grading, average number of organ failure,?the score of APACHE II, mean arterial pressure(MAP), mean platelet volume(MPV), blood urea nitrogen(BUN) and Fasting blood glucose(FBG) between the survive group and death group(P＜0.05). Conclusion The prognos