摘要
目的:观察连续性血液净化(CBP)治疗对危重症患者的疗效。方法:50例多器官功能障碍综合征(MODS)患者分为CBP组(A组)30例和普通透析组(B组)20例。患者在治疗前后分别抽血检测尿素氮(BUN)、肌酐(Scr)、血钾、血钠、血氯、二氧化碳结合力(CO_2CP)、pH、HCO_3^-、PCO_2和PO_2等指标,分析治疗前后各指标的改变。结果:患者治疗后BUN、Scr、血钾、血钠均下降,CO_2CP升高;组间比较显示BUN,Scr,血钾、血氯、CO_2CP有明显的差异,表明A组的疗效比B组更佳。结论:早期使用CBP治疗对抢救MODS等危重症起着积极有效的作用。
Objective:To investigate the effect of continuous blood purification therapy (CBP) on patients with emergency and serious diseases.Methods:50 cases were divided into 2 groups:Group A[30 patients with multiple organ dysfunction syndrome (MODS)]were treated.Group B (20 patients) were treated with common hematodialysis (HD).Blood urea nitrogen (BUN),serum creatinine(Scr),natrem (Na^+),kalium (K^+),chlorine (Cl^-),power of hydrogen (pH),bicarbonate (HCO_3^-),carbon dioxide partial pressure (PCO_2) and oxygen pressure(PO_2) were measured before and after the treatment.Results:The levels of BUN,Scr,K^+ and Na^+(P<0.05 in Group A,P< 0.01 in Group B) were all lower and the levels of CO_2CP (P<0.01 in Group A,P<0.05 in Group B) were higher than that before the pretherapy in both Group A and Group B.The therapeutic effect in Group A was better than that in Group B.Conclusion:Using CBP as early as possible is very important and it can improve the prognosis of the patients.
出处
《岭南急诊医学杂志》
2009年第5期359-360,363,共3页
Lingnan Journal of Emergency Medicine
