摘要
目的:探讨血液透析对急性肾功能衰竭伴多脏器损害(MODS)的治疗效果。方法:总结我院1996～1998年合并肾衰的多脏器损害病人17例,采用碳酸盐法血液透析及综合病因治疗,观察治疗后转归情况。结果:17例经治疗后存活12例,死亡5例,总死亡率30%。随衰竭脏器增多,死亡率逐渐增多。其中2个脏器损害8例,死亡2你,存活6例,死亡率25%;3个脏器损害5例,存活3例,死亡2例,死亡率40%;5个脏器损害2例,存活1例,死亡1例,死亡率50%。结论:血液透析在治疗急性肾功能衰竭,纠正水电解质紊乱、酸碱平衡失调,排除水钠潴留、毒素蓄积,控制心衰、肺水肿的同时延缓了MODS病情进展,提高了MODS的存活率。
Purpose;To investigate the effect of hemodialysis(HD) on acute renal failure (ARF) with multiple organs damage syndrone(MODS). Methods: 17 cases of ARF with MODS from 1996 ~ 1998 in our hospital using HD and combine therapy of its causes to improve the prognosis. Results: There were 17 cases after therapy with 12 cases survival and 5 cases death ( Mortality 30% ) . As the number of failed or-gans increased, the mortality will accordingly be enhanced . There were 8 cases of damaging 2 organs with 2 deaths and 6 survivals ( Mortality 25% ). 5 cases of 3 organs damaging with 3 survivals and 2 deaths ( Mortality 40% ). 2 cases of 5 organs damaging with 1 survival and 1 death ( Mortality 50% ). Conclu-sion: The HD treatment of ARF could correct fluid, electrolyte acid -base imbalance, HD clears up reten-tion of water natrium and toxins. Control heart failure and pulmonary edema simultaneously delays the de-velopment of MODS. Average survival time of MODS has been improved.
出处
《临床急诊杂志》
CAS
2002年第2期63-65,共3页
Journal of Clinical Emergency
