摘要
目的比较急性胰腺炎(SAP)合并多器官功能衰竭(MODS)病人在常规治疗基础上应用血液滤过(CVVH)后的治疗作用.方法21例急性胰腺炎合并多器官功能衰竭病人,随机分为常规治疗组和CV- VH治疗组,比较血滤前和血滤后体温、APPACH评分、动脉血氧分压(PaO_2)、血淀粉酶、血尿素氮等指标的变化。结果21例病人,死亡9例,CVVH治疗组较常规治疗组死亡率明显下降.结论对于急性胰腺炎合并多器官功能衰竭的病人早期应用CVVH后病人体温、APPCHⅡ评分,血淀粉酶、血浆白蛋白、胰腺CT等指标有明显的改善,认为CVVH可以作为急性胰腺炎合并多器官功能衰竭病人的一个重要治疗措施。
Objective To compare the effect between routine treatment and routine treatment plus continuous veno-venous hemofihratilon （CVVH） in the patients with severe acute pancreatitis （SAP） and multiple dysfunction syndrome （MODS）. Methods 21 patients with SAP and MODS were randomly divided into two groups （routine treatment group and CVVH group）. The temperature, APPACH evaluation, PaO2, blood amylase, and BUN were analyzed after CVVH therapy. Results 9 patients died. The mortality of CVVH group was significantly lower than that in the routine treatment group. Conclusion The temperature, APPACH evaluation, PaO2, blood amylase, albumin, CT diagnoses of pancreas in CVVH group were better than those in routine treatment group. So CVVH may be an important way to treat the patients with SAP and MODS.
出处
《昆明医学院学报》
2007年第5期69-71,共3页
Journal of Kunming Medical College
关键词
重症急性胰腺炎
多器官功能障碍综合征
血液滤过
Severe acute pancreatitis
Multiple organ dysfunction syndrome
Continuous veno -venous hemofihratilon
