摘要
目的评价血液滤过联合血液灌流对肝移植术后出现急性肝衰竭患者的临床治疗价值。方法采用血液滤过联合血液灌流治疗9例肝移植术后发生急性肝衰竭的患者,检测治疗前后血常规、肝肾功能等指标并进行比较。结果患者进行血液滤过联合血液灌流治疗后,血液生化指标较治疗前明显下降,其中总胆红素(TB)、血氨(NH3)、谷丙转氨酶(ALT)、尿素氮(BUN)、肌酐(Cr)治疗前后对比具有统计学意义,临床症状明显改善。结论对肝移植术后患者,进行血液滤过联合血液灌流治疗,可有效清除及吸附血液中TB、NH3、ALT、BUN、Cr,是肝移植术后恢复的有效措施之一。
Objective To evaluate the clinical therapeutic value of hemofiltration combined with hemoperfusion in patients with acute liver failure after liver transplantation.Methods Nine cases of liver transplantation in patients with acute liver failure were treated with hemofiltration plus hemoperfusion.Blood,liver function,and kidney function before and after treatment were tested,and various indicators were compared.Results Biochemical level after treatment decreased significantly,including TB,NH3,ALT,BUN,Cr,and clinical symptoms improved significantly.Conclusion Hemofiltration combined with hemoperfusion in acute liver failure after liver transplantation can effectively remove and adsorption the blood TB,NH3,ALT,BUN,Cr,liver transplantation is one of the effective postoperative recovery.
出处
《实用临床医药杂志》
CAS
2011年第17期134-135,147,共3页
Journal of Clinical Medicine in Practice
关键词
血液滤过
血液灌流
肝移植术后
急性肝衰竭
血清生化指标
hemofiltration
hemoperfusion
after liver transplantation
acute liver failure
serum biochemical
