蚌埠医学院学报
蚌埠醫學院學報
방부의학원학보
ACTA ACADEMIAE MEDICINAE BENGBU
2015年
4期
456-457,458
,共3页
多器官功能障碍综合征%血液净化%重症监护室
多器官功能障礙綜閤徵%血液淨化%重癥鑑護室
다기관공능장애종합정%혈액정화%중증감호실
multiple organ dysfunction syndrome%continuous blood purification%intensive care unit
目的：：评价连续血液净化应用于重症监护室患者多器官功能障碍综合征( MODS)的效果与预后。方法：对35例MODS患者实施连续血液净化治疗，治疗过程中动态监测血压、心率、血氧饱和度。治疗前及治疗后实施血气分析，检查肝肾功能与电解质。结果：治疗后钠离子、钾离子、肌酐和尿素氮均较治疗前明显降低，而高钙离子和HCO3-含量均较治疗前显著升高(P<0.01)。全部患者经连续血液净化治疗后，生存21例，病死14例，生存患者年龄、器官衰竭数以及APACHEⅡ评分均明显低于病死患者(P<0.01)。结论：应用连续性血液净化能够有效纠正重症监护室MODS患者的酸碱及水电解质紊乱，患者的年龄、器官衰竭数以及APACHEⅡ评分均能够影响其预后。
目的：：評價連續血液淨化應用于重癥鑑護室患者多器官功能障礙綜閤徵( MODS)的效果與預後。方法：對35例MODS患者實施連續血液淨化治療，治療過程中動態鑑測血壓、心率、血氧飽和度。治療前及治療後實施血氣分析，檢查肝腎功能與電解質。結果：治療後鈉離子、鉀離子、肌酐和尿素氮均較治療前明顯降低，而高鈣離子和HCO3-含量均較治療前顯著升高(P<0.01)。全部患者經連續血液淨化治療後，生存21例，病死14例，生存患者年齡、器官衰竭數以及APACHEⅡ評分均明顯低于病死患者(P<0.01)。結論：應用連續性血液淨化能夠有效糾正重癥鑑護室MODS患者的痠堿及水電解質紊亂，患者的年齡、器官衰竭數以及APACHEⅡ評分均能夠影響其預後。
목적：：평개련속혈액정화응용우중증감호실환자다기관공능장애종합정( MODS)적효과여예후。방법：대35례MODS환자실시련속혈액정화치료，치료과정중동태감측혈압、심솔、혈양포화도。치료전급치료후실시혈기분석，검사간신공능여전해질。결과：치료후납리자、갑리자、기항화뇨소담균교치료전명현강저，이고개리자화HCO3-함량균교치료전현저승고(P<0.01)。전부환자경련속혈액정화치료후，생존21례，병사14례，생존환자년령、기관쇠갈수이급APACHEⅡ평분균명현저우병사환자(P<0.01)。결론：응용련속성혈액정화능구유효규정중증감호실MODS환자적산감급수전해질문란，환자적년령、기관쇠갈수이급APACHEⅡ평분균능구영향기예후。
Objective:To evaluate the effects and prognosis of the continuous blood purification in the treatment of multiple organ dysfunction syndrome( MODS) . Methods:Thirty-five patients with MODS were treated with the continuous blood purification. The blood pressure,heart rate and blood oxygen saturation in all patients were dynamically monitored in the course of treatment. The blood gas, liver and renal function and electrolyte were evaluated before and after treatment. Results:The differences of the levels of sodium potassium,creatinine,urea nitrogen and HCO3- between before and after treatment were statistically significant(P<0. 01). Twenty-one cases survived,13 cases died. The differences of age, number of organ failure and APACHE Ⅱ score between survival and death patients were statistically significant(P<0. 01). Conclusions:The continuous blood purification can effectively correct the acid-base and electrolyte disturbance of patients with MODS. The age,number of organ failure and APACHE Ⅱ score can affect the prognosis of the patients.
