CAJ | 학술논문

目的探讨连续性血液净化(CBP)在多器官功能障碍(MODS)患者中的应用及护理,提高连续性血液净化治疗多器官功能障碍患者的疗效.方法对19例多器官功能障碍患者在综合治疗的基础上进行连续性静-静脉血液透析滤过(CWHDF),每次持续血液净化24～72 h,同时监测患者的内环境及生命体征情况,并加强血管通路的观察、液体平衡的管理.结果连续性血液净化治疗可明显降低血肌酐和尿素氮、维持电解质平衡、纠正酸碱紊乱、提高氧合指数、改善血流动力学,对患者心肺功能起重要的支持作用.结论在CBP治疗期间护士熟练掌握多功能血液净化治疗装置的操作技术,密切监测患者的生命体征、各项参数和病情变化,配合细致的护理,从而提高了连续性血液净化在多器官功能障碍患者中的疗效.
목적 탐토련속성혈액정화(CBP)재다기관공능장애(MODS)환자중적응용급호리,제고련속성혈액정화치료다기관공능장애환자적료효.방법 대19례다기관공능장애환자재종합치료적기출상진행련속성정-정맥혈액투석려과(CWHDF),매차지속혈액정화24～72 h,동시감측환자적내배경급생명체정정황,병가강혈관통로적관찰、액체평형적관리.결과 련속성혈액정화치료가명현강저혈기항화뇨소담、유지전해질평형、규정산감문란、제고양합지수、개선혈류동역학,대환자심폐공능기중요적지지작용.결론 재CBP치료기간호사숙련장악다공능혈액정화치료장치적조작기술,밀절감측환자적생명체정、각항삼수화병정변화,배합세치적호리,종이제고료련속성혈액정화재다기관공능장애환자중적료효.
Objective To investigate and evaluate the effect of continuous blood purification therapy for patients with multiple organ dysfunction syndrome (MODS) . Methods 19 patients with MODS in ICU were treated with continuous veno -venous hemodiafiltration (CVVHDF) for 24～72 hours. Blood internal environment, vital signs, dialysis channel and fluids balance were monitoring strictly. Results The levels of BUN and Cr were decreased distinctly, the electrolyte and acid -base balance were maintained, and the haemodynamics was improved. Conclusions During the treatment of CBP, proficient mastering the operating techniques, strict monitoring the vital signs, parameters of patients'condition could elevate the effect of continuous blood purification therapy.