国际医药卫生导报
國際醫藥衛生導報
국제의약위생도보
INTERNATIONAL MEDICINE & HEALTH GUIDANCE NEWS
2013年
6期
819-821
,共3页
心脏骤停%心肺复苏%肾功能损伤
心髒驟停%心肺複囌%腎功能損傷
심장취정%심폐복소%신공능손상
Cardiac arrest%Cardio pulmonary resuscitation(CPR)%Renal function injury
目的 研究心脏骤停复苏成功患者复苏后肾功能的发生情况.方法 对我院2009-2012年间心脏骤停复苏成功的患者按心脏停搏时间分为A组(≤10 min)和B组(＞10 min),对两组患者复苏后肾功能情况进行观察,测定血肌酐(Ccr)、尿素氮(BUN)等水平变化情况.结果 两组患者血BUN、Scr水平在复苏后即刻差异无显著性(P＞0.05),复苏后3d内两组患者血BUN、Scr、尿RBC计数均呈现先上升后下降的变化趋势,在2d达高峰后逐渐下降,两组尿蛋白阳性率呈逐渐下降趋势.A组BUN、Scr升高程度和峰值、尿RBC计数、尿蛋白率等始终低显著于B组(P＜0.05).结论 心脏骤停后心肺复苏成功患者多存在肾功能损伤,且心脏停搏时间越长,损伤程度越严重.
目的 研究心髒驟停複囌成功患者複囌後腎功能的髮生情況.方法 對我院2009-2012年間心髒驟停複囌成功的患者按心髒停搏時間分為A組(≤10 min)和B組(＞10 min),對兩組患者複囌後腎功能情況進行觀察,測定血肌酐(Ccr)、尿素氮(BUN)等水平變化情況.結果 兩組患者血BUN、Scr水平在複囌後即刻差異無顯著性(P＞0.05),複囌後3d內兩組患者血BUN、Scr、尿RBC計數均呈現先上升後下降的變化趨勢,在2d達高峰後逐漸下降,兩組尿蛋白暘性率呈逐漸下降趨勢.A組BUN、Scr升高程度和峰值、尿RBC計數、尿蛋白率等始終低顯著于B組(P＜0.05).結論 心髒驟停後心肺複囌成功患者多存在腎功能損傷,且心髒停搏時間越長,損傷程度越嚴重.
목적 연구심장취정복소성공환자복소후신공능적발생정황.방법 대아원2009-2012년간심장취정복소성공적환자안심장정박시간분위A조(≤10 min)화B조(＞10 min),대량조환자복소후신공능정황진행관찰,측정혈기항(Ccr)、뇨소담(BUN)등수평변화정황.결과 량조환자혈BUN、Scr수평재복소후즉각차이무현저성(P＞0.05),복소후3d내량조환자혈BUN、Scr、뇨RBC계수균정현선상승후하강적변화추세,재2d체고봉후축점하강,량조뇨단백양성솔정축점하강추세.A조BUN、Scr승고정도화봉치、뇨RBC계수、뇨단백솔등시종저현저우B조(P＜0.05).결론 심장취정후심폐복소성공환자다존재신공능손상,차심장정박시간월장,손상정도월엄중.
Objective To study the renal function injury status after cardio pulmonary resuscitation (CPR).Methods 46 cardiac arrest patients after CPR were divided according to the arrest time as group A(≤10min) and group B(＞ 10min).The 2 groups were observed in terms of serum creatinine (Scr),blood urea nitrogen (BUN) and etc.Results The BUN,Scr,urine RBC of both groups showed a trend of ascending first and descending then,the peak appeared after 2 days.The urine protein rate of both groups decreased from the first day.Group A had a lower level of BUN,Scr,urine RBC and urine protein rate than those of group B (P＜0.05).Conclusions The cardiac arrest patients after CPR commonly have renal function injury and the longer the heart stops the more severe the injury is.
