CAJ | 학술논문

目的探讨连续性静脉-静脉血液滤过(CVVH)在主动脉夹层术后急性肾衰竭(ARF)中应用的临床意义.方法 15例术后ARF患者,采用CVVH治疗,比较治疗前后血电解质、尿素氮、肌酐等相关指标的变化,以及全身水肿情况.结果 11例存活,4例死亡.存活患者血液滤过后尿素氮[(37.2±12.1)mmol/L与(22.1±6.8)mmol/L]和血肌酐[(351.4±160.9)μmol/L与(185.7±97.6)μmol/L]均逐渐下降直至恢复正常,尿量分别于滤过后6～40 d恢复正常,肾功能恢复时间为8～60 d.所有患者血液滤过后水肿得到明显改善.结论 CVVH是治疗主动脉夹层术后ARF的一种有效、方便而安全的方法.
목적 탐토련속성정맥-정맥혈액려과(CVVH)재주동맥협층술후급성신쇠갈(ARF)중응용적림상의의.방법 15례술후ARF환자,채용CVVH치료,비교치료전후혈전해질、뇨소담、기항등상관지표적변화,이급전신수종정황.결과 11례존활,4례사망.존활환자혈액려과후뇨소담[(37.2±12.1)mmol/L여(22.1±6.8)mmol/L]화혈기항[(351.4±160.9)μmol/L여(185.7±97.6)μmol/L]균축점하강직지회복정상,뇨량분별우려과후6～40 d회복정상,신공능회복시간위8～60 d.소유환자혈액려과후수종득도명현개선.결론 CVVH시치료주동맥협층술후ARF적일충유효、방편이안전적방법.
Objective To study the curative effect of continuous veno-venous hemodiafiltration(CVVH)in patients with acute renal failure(ARF)after aortic dissection surgery. Methods Fifteen patients with renal dysfunction following aortic dissection surgery underwent CVVH from Feb. 2002 to Dec. 2009 in this study.The clinical data of these patients were collected,such as heart rate(HR),central vein pressure(CVP),mean artery blood pressure(MAP),PaO2,renal function,perioperative manifestations and outcomes. Results Eleven patients survived but 4 died during the course of treatment. There were significant decreases of BUN,Creatinin after CVVH (P ＜ 0. 05)treatment,and the urine volume returned to nomal after CVVH in 6 -40 days. Conclusions CVVH is an effective,convenient and safe treatment for patients with severely ARF following aortic dissection surgery.