| 摘要: |
| ［摘要］ 目的 观察和探讨间歇性血液滤过对多器官功能障碍综合征（MODS）的疗效。方法 选择我院34例MODS患者，行间歇性血液滤过治疗，比较治疗前后BUN、CRE、K+、血pH水平的变化以及治疗前后平均动脉压、中心静脉压、心率的变化并进行APACHⅡ评分。结果 间歇性血液滤过治疗后患者上述指标均有显著变化，治疗后与治疗前比较差异有统计学意义(P<0.05)。结论 间歇性血液滤过能有效清除溶质，调整离子和酸碱平衡，稳定血液动力学，改善APACHEⅡ评分，是一种有效的器官功能支持方法。 |
| 关键词: 血液滤过 多器官功能障碍 功能支持 |
| DOI：10.3969/j.issn.1674-3806.2009.04.017 |
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| Disscution on effects of intermittent hemofiltration on multiple organ dysfunction syndrome |
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GONG Rong, GUO Hua, LIANG Zhu, et al.
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Departemt of Nephrology, the Third People′s Hosptial of Chengdu, Chengdu 610031, China
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| Abstract: |
| ［Abstract］ Objective To observe and investigate the effects of intermittent hemofiltration in the treatment of multiple organ dysfunction syndrome(MODS). Methods Thirty four patients with MODS were selected. Changes of BUN and serum CRE, K+, pH and acute physiology and chronic Ⅱ scores before and after treatment were compared. Mean arterial pressure, central venous pressure and heart rate were monitored during the treatment and their changes before and after treatment were compared.Results Compared with that before treatment, all above of datas were significant changes. There were statistically significant difference before and after treatment (P<0.05).Conclusion Intermittent hemofiltration can effectively clear extra solutes, appropriately adjust ionic and acid-base balance with little disturbance on blood flow dynamics. It is a effective multiple organ function support therapeutic method. |
| Key words: Hemofiltration Multiple organ dysfunction syndrome Organ function support |
