CAJ | 학술논문

目的探讨高置换率连续性肾脏替代治疗(CRRT)在重症急性胰腺炎(SAP)并发急性呼吸窘迫综合征(ARDS)中的应用及护理.方法将24例入院时重症急性胰腺炎(SAP)并发ARDS患者于呼吸机支持下行高置换率CRRT治疗,进行动态观察治疗前后生命体征、氧合指数、APACHE-Ⅱ评分、呼气末正压(PEEP)水平等的变化.结果 15例患者救治成功,经高置换率CRRT治疗后,患者的APACHE-Ⅱ评分、体温、呼吸频率、心率、平均动脉压、呼气末正压(PEEP)的水平均有明显的下降(P＜0.05),氧合指数明显升高(P＜0.05).结论早期应用高置换率CRRT治疗,可缓解临床症状,改善病情,提高教治成功率；而在临床上严密的监测及科学护理对重症急性胰腺炎并发急性呼吸窘迫综合征的疗效起重要作用.
목적 탐토고치환솔련속성신장체대치료(CRRT)재중증급성이선염(SAP)병발급성호흡군박종합정(ARDS)중적응용급호리.방법 장24례입원시중증급성이선염(SAP)병발ARDS환자우호흡궤지지하행고치환솔CRRT치료,진행동태관찰치료전후생명체정、양합지수、APACHE-Ⅱ평분、호기말정압(PEEP)수평등적변화.결과 15례환자구치성공,경고치환솔CRRT치료후,환자적APACHE-Ⅱ평분、체온、호흡빈솔、심솔、평균동맥압、호기말정압(PEEP)적수평균유명현적하강(P＜0.05),양합지수명현승고(P＜0.05).결론 조기응용고치환솔CRRT치료,가완해림상증상,개선병정,제고교치성공솔；이재림상상엄밀적감측급과학호리대중증급성이선염병발급성호흡군박종합정적료효기중요작용.
Objective To study the application and nursing of high replacement rate continuous renal replacement therapy (CRRT) in severe acute pancreatitis ( SAP), complicated by acute respiratory distress syndrome ( ARDS) .Methods Twenty four cases of severe acute pancreatitis ( SAP) concurrent ARDS patients were treated with high replacement rate CRRT treatment by ventilator support.Dynamically observing life signs,oxygenation index,APACHE - Ⅱ score,positive end expiratory pressure ( PEEP) level were compared before and after treatment.Results Fifteen cases of patients were treated successfully on high replacement ratio CRRT therapy.the level of A PACHE - II score,body temperature,breathing,heart rate,mean arterial pressure,and positive end expiratory pressure ( PEEP) were significantly decreased (P < 0.05).oxygenation index was increased significantly (P < 0.05) .Conclusions Early application of high replacement rate CRRT treatment,can alleviate clinical symptoms,improve disease,improve the success rate of treatment. Moreover it plays an important role to improve therapeutic effect of severe acute pancreatitis concurrent acute respiratory distress syndrome by clirucal closely monitoring and scientificly nursing.