急性肾衰竭患者ICU连续性血液净化治疗效果观察.doc

急性肾衰竭患者ICU连续性血液净化治疗效果观察【摘要】目的 观察研究急性肾衰竭患者ICU连续性血液净化治疗效果。方法 58例患者在治疗前均进行尿液检查、血常规检查以及肾衰竭指数测定，均进行连续性血液净化治疗。结果 58例患者经过连续性血液净化治疗后，其生命体征开始平稳，血清肌酐、血钾以及血尿素氮均呈下降趋势，58例急性肾功能衰竭的患者经过治疗后存活54例，存活率高达93%，其中1例在治疗过程中因突然休克而致亡，3例在治疗后因并发多内脏器官功能衰竭而致亡，死亡率为6.8%。结论 连续性血液净化可以有效治疗ICU急性肾衰竭患者，其疗效显著，死亡率低，可以代替肾移植来治疗，值得在临床上推广使用。 【关键词】急性肾衰竭 连续性血液净化ICU 中图分类号：R692.5文献标识码：A文章编号：1005-0515（2011）2-027-02 ICU patients with acute renal failure Effect of continuous blood purification therapy Liang Bing Baoshan City, Yunnan Province, People’s Hospital Critical Care Medicine 【Abstract】Objective To study patients with acute renal failure in ICU continuous blood purification treatment. Methods 58 patients before treatment were carried out in the urine, blood examination and determination of renal failure index, are the continuous blood purification treatment. Results 58 patients treated by continuous blood purification, its vital signs started to flatten, serum creatinine, serum potassium and blood urea nitrogen were decreased, and 58 cases of acute renal failure in patients 54 patients survived after treatment, the survival rate Up to 93%, 1 case in the course of treatment due to a sudden shock Erzhi death, 3 patients treated for visceral organ failure complicated by multiple Erzhi death, mortality rate was 6.8%. Conclusion The continuous blood purification can be effectively treated ICU patients with acute renal failure, its effect is significant, the mortality rate is low, can replace the treatment of renal transplantation, it is used in clinical practice. 【Key words】continuous blood purification in acute renal failure in ICU 连续性血液净化技术亦称为连续性肾脏替代治疗：指的是所有连续、缓慢清除水分和溶质的治疗方式的总称。在医学飞速的发展下，连续性血液净化技术已经日趋成熟，现今已不仅仅是提高严重肾衰的疗效，已经延伸到其他重症领域。如今已在我国各中大医院得到普遍使用。现将我院于2009年10月到2010年7月收治的58例急性肾衰竭患者ICU连续性血液净化治疗的效果总结如下。 1 资料与方法 1.1 临床资料 本组58例患者均为我院于2009年10月到2010年7月收治的ICU急性肾衰竭患者，其中男30例，女28例，年龄为18～59岁，平均年龄26岁，其中急性肾衰竭患者合并症为急性支气管炎9例、慢性肾功能不全18例、高血压27例、糖尿病23例及肺部感染14例。 1.2 方法 1.2.1 治疗前检测 58例患者在治