摘要
目的探讨间歇性高容量血液滤过(PHVHF)对多器官功能障碍综合征(MODS)治疗效果。方法 PHVHF治疗MODS患者25例。结果 25例患者治疗中血流动力学稳定,血尿素氮、肌酐及血钾下降(P<0.01),氧合指数好转(P<0.05)。急性生理学及慢性健康况评分Ⅱ(APACHE-Ⅱ评分)降低(P<0.05)。18例痊愈出院,5例死亡,2例自动出院,治愈好转率72%,死亡率20%。结论 PHVHF可明显改善MODS预后,患者耐受性好。
Objective To evaluate the effects of pulse high volume hemofiltration（PHVHF） in the treatment of multiple organ dysfunction syndrome（MODS）.Methods？Twenty-five patients with MODS received treatment with PHVHF.Results The 25 patients showed significantly decreased BUN,Scr,and K＋ levels after the treatment（P0.01）,and PaO2/FiO2 was improved in almost all the patients（P0.05）.The APACHEII scores were significantly improved（P0.05） in these patients and 18 of them were cured and discharged.PHVHF therapy was associated with a survival rate of 72%.Conclusion PHVHF can be effective for treatment of MODS.
出处
《南方医科大学学报》
CAS
CSCD
北大核心
2011年第2期344-346,共3页
Journal of Southern Medical University
基金
韶关市医药卫生科研计划项目(Y10024)
关键词
间歇性高容量血液滤过
多器官功能障碍综合征
ICU
pulse high-volume hemofiltration
multiple organ dysfunction syndrome
intensive care unit
