连续性血液净化在心脏术后急性肾衰竭合并其他脏器功能障碍中的应用.PDFVIP

DO I :10.16021/j .cnki .1007 -8622.2010.05.034 　　2010 10 30 31 5 MedJNDFNC, VOL.31, NO.5, Octobe,r20 10 333 1 2 2 2 1 邹晓荣 ,王汉民, 张　鹏,黄　晨 ,徐丽娟 (1.解放军323 医院肾病内科, 陕西 西安　7 10054;2.第四军医大学西京医院肾病内科) []　:(CBP)(RF)。 : 55 ( 12 h CBP, 36 ) B ( 12 h CBP, 19 ), CBP MODS、 PCHEⅢ、、(BUN)(Scr)。:CBP (P0.01)。: CBP, 。 []　;　;　;　 []　R692.5　　　[]　 　　　[]　1007-8622 (20 10 )05-0 333-03 Continuousbloodpurificationforpatientswithacuterenalfailurecombinedwithotherorgandysfunction aftercardiacsurgery ZOUXiao-rong, W NGHan-min, ZH NGPeng, eta.l(DepartmentofNephrology, 323 HospitalofPL, Xian710054, China) [ bstract]　Objective:Toinvestigatetheefficacyandtherapeuticoptionsofcontinuousbloodpurification(CBP) forpatientswithacuterenalfailure(RF)combinedwithotherorgandysfunctionaftercardiacsurgery.Method:s Fifty-fivepatientsweredividedintogroup (receivingCBPtreatmentwithin12 hafterdiagnosis, n=36 )and groupB(receivingCBPtreatmentover12 hafterdiagnosis, n=19 ).TheMODSscor,e PCHEⅢ scor,eurine outpu,tbloodureanitrogen(BUN)andserumcreatinine(Scr)werecomparedbetweengroup andB.Result:s Thereweresignificantdifferencesintheformerobservationdatabewteengroup andB(P0.0 1).Conclusion: EarlyCBPtreatmentisaneffectivemethodforpatientswith RFcombinedwithotherorgandysfunctionafter cardiacsurger,ywhichplaysanmiportantroleinmiprovingtheprognosi.s [Keywords]　Continuousbloodpurification;　 cuterenalfailure;　Multipleorgandysfunctionsyndrome;　 Cardiacsurgery 　　 RF, 55 , [1] 2%～5%, 45% ～100% , : ( 12 h CBP, 36 ), 、、。 CBP 17 , 19 , 13 ～72, (42.5 。 2004 , ±29.5 )。 B ( 12 h CBP CBP, , 19 ), 12 , 7 , 12 ～70 , ,。 (41.0 ±29.0 )。, 1　 ( Fisher ) ( 1.1　临 资料:2004 -01 ～2008-12, t)。, CBP RF 、。