中国医药指南
中國醫藥指南
중국의약지남
CHINA MEDICINE GUIDE
2013年
19期
454-454,455
,共2页
王野%边曦%刘虎%柯家祥
王野%邊晞%劉虎%柯傢祥
왕야%변희%류호%가가상
烧伤%急性肾功能衰竭%动静脉血液滤过
燒傷%急性腎功能衰竭%動靜脈血液濾過
소상%급성신공능쇠갈%동정맥혈액려과
Burn%Acute renal failure%Arteriovenous blood filtration
目的探讨特重度烧伤并发急性肾功能衰竭(ARF)的防治方法。方法总结分析我科2007年1月至2012年12月收治的199例特重度烧伤患者中并发急性肾功能衰竭的19例资料的发病。结果19例合并急性肾功能衰竭(ARF)患者中有7例行动静脉血液滤过治疗,2例患者存活,5例死亡,病死率为71.43%。结论急性肾功能衰竭(ARF)多发生于特重度烧伤早期(14d内),烧伤面积越大,深度越深,补液时间越晚,发生率越高。烧伤合并休克、感染(脓毒症)、吸入性损伤是诱发急性肾功能衰竭的高危因素。
目的探討特重度燒傷併髮急性腎功能衰竭(ARF)的防治方法。方法總結分析我科2007年1月至2012年12月收治的199例特重度燒傷患者中併髮急性腎功能衰竭的19例資料的髮病。結果19例閤併急性腎功能衰竭(ARF)患者中有7例行動靜脈血液濾過治療,2例患者存活,5例死亡,病死率為71.43%。結論急性腎功能衰竭(ARF)多髮生于特重度燒傷早期(14d內),燒傷麵積越大,深度越深,補液時間越晚,髮生率越高。燒傷閤併休剋、感染(膿毒癥)、吸入性損傷是誘髮急性腎功能衰竭的高危因素。
목적탐토특중도소상병발급성신공능쇠갈(ARF)적방치방법。방법총결분석아과2007년1월지2012년12월수치적199례특중도소상환자중병발급성신공능쇠갈적19례자료적발병。결과19례합병급성신공능쇠갈(ARF)환자중유7례행동정맥혈액려과치료,2례환자존활,5례사망,병사솔위71.43%。결론급성신공능쇠갈(ARF)다발생우특중도소상조기(14d내),소상면적월대,심도월심,보액시간월만,발생솔월고。소상합병휴극、감염(농독증)、흡입성손상시유발급성신공능쇠갈적고위인소。
Objective To explore, severe burn complicated by acute renal failure (ARF) control method. Methods To summarize analyze my family in January 2007-December 2012, were 199 cases of severe burn patients with acute renal failure 19 cases of the pathogenesis of data. Results 19 cases were complicated with acute renal failure (ARF) patients with 7 cases action venous blood filtration treatment, 2 patients live, 5 cases died, and mortality was 71.43%. Conclusion Acute renal failure (ARF) occurs more often in severe burn, early (14 days), burn area is larger, the deeper the depth, rehydration the late time, the higher the incidence. Burns complicated by shock, infection (sepsis), inhalation injury is induced acute kidney failure risk factors.