中国继续医学教育
中國繼續醫學教育
중국계속의학교육
CHINA CONTINUING MEDICAL EDUCATION
2015年
10期
18-20
,共3页
李战华%陈瑞%高利真%高亮%陈丽%刘阳%邱爽
李戰華%陳瑞%高利真%高亮%陳麗%劉暘%邱爽
리전화%진서%고리진%고량%진려%류양%구상
连续性静脉血液滤过%多器官功能障碍综合征%炎症介质
連續性靜脈血液濾過%多器官功能障礙綜閤徵%炎癥介質
련속성정맥혈액려과%다기관공능장애종합정%염증개질
Continuous veno-venous hemofiltration%Multi organ dysfunction syndrome%Inlfammatory mediators
目的:探讨连续性静脉血液滤过(CVVH)治疗儿童多脏器功能障碍综合征(MODS)的作用及意义。方法45例MODS患儿采用CVVH治疗,检测CVVH治疗前及治疗中各时相点血气、生化、细胞因子浓度指标、血管活性药物用量、血压、尿量等变化。结果45例MODS患儿经过CVVH治疗及其他综合治疗,11例MODS患儿死亡,余34例均治愈出院,治愈率75.6%。结论 CVVH联合其他综合治疗可明显改善MODS患儿的氧合,纠正酸中毒、清除炎症介质、代谢产物,稳定血压,改善组织器官灌注,促进脏器功能恢复。
目的:探討連續性靜脈血液濾過(CVVH)治療兒童多髒器功能障礙綜閤徵(MODS)的作用及意義。方法45例MODS患兒採用CVVH治療,檢測CVVH治療前及治療中各時相點血氣、生化、細胞因子濃度指標、血管活性藥物用量、血壓、尿量等變化。結果45例MODS患兒經過CVVH治療及其他綜閤治療,11例MODS患兒死亡,餘34例均治愈齣院,治愈率75.6%。結論 CVVH聯閤其他綜閤治療可明顯改善MODS患兒的氧閤,糾正痠中毒、清除炎癥介質、代謝產物,穩定血壓,改善組織器官灌註,促進髒器功能恢複。
목적:탐토련속성정맥혈액려과(CVVH)치료인동다장기공능장애종합정(MODS)적작용급의의。방법45례MODS환인채용CVVH치료,검측CVVH치료전급치료중각시상점혈기、생화、세포인자농도지표、혈관활성약물용량、혈압、뇨량등변화。결과45례MODS환인경과CVVH치료급기타종합치료,11례MODS환인사망,여34례균치유출원,치유솔75.6%。결론 CVVH연합기타종합치료가명현개선MODS환인적양합,규정산중독、청제염증개질、대사산물,은정혈압,개선조직기관관주,촉진장기공능회복。
ObjectiveTo signification of continuous veno-venous hemofiltration (CVVH) for treatment pediatric multiorgan dysfunction syndrome (MODS).MethodsSelected 45 children with MODS were treated with CVVH. Examined at a set of time points from the beginning to the end of CVVH included the blood gas, biochemical items, cytokine concentration, dosage of vascular active drug, blood pressure (BP), urine output.Results45 cases of children with MODS after CVVH therapy and other comprehensive treatment, 11 cases of children with MODS died and 34 cases were cured, the cure rate of 75.6%.Conclusion The CVVH and other comprehensive treatment is effective in treatment of pediatric MODS by improving the oxygenation, correcting metabolic acidosis, eliminating the inlfammatory mediators and metabolites, stabilizing BP, increasing the tissue perfusion and promoting the viscera function recovery.