CAJ | 학술논문

目的：探讨连续性肾脏替代治疗心脏手术后重症右心衰竭的临床疗效；方法选取2012年3月至2013年10月我科心脏手术后发生重症右心衰竭的26位患者，全部采用连续性肾脏替代治疗法治疗；结果26例发生重症右心衰竭的患者经过肾脏替代治疗后，26例患者存活12例，存活率为46.15%，死亡14例，死亡率为53.85%，其中3例死于突发恶性心律失常，4例死于多器官功能衰竭，7例死亡原因为难以纠正的低心排血量综合征。结论连续性肾脏替代治疗方法应用于心脏手术后重症右心衰竭极大的提高了患者的存活率，该方法值得大力推广。
목적：탐토련속성신장체대치료심장수술후중증우심쇠갈적림상료효；방법선취2012년3월지2013년10월아과심장수술후발생중증우심쇠갈적26위환자，전부채용련속성신장체대치요법치료；결과26례발생중증우심쇠갈적환자경과신장체대치료후，26례환자존활12례，존활솔위46.15%，사망14례，사망솔위53.85%，기중3례사우돌발악성심률실상，4례사우다기관공능쇠갈，7례사망원인위난이규정적저심배혈량종합정。결론련속성신장체대치료방법응용우심장수술후중증우심쇠갈겁대적제고료환자적존활솔，해방법치득대력추엄。
ABSTRACT:Objective To investigate clinical effect of continuous renal replacement therapy for patients with early severe right heart failure after cardiac surgery. Method choose 26 patients with severe right heart failure after cardiac surgery in our department from March 2013 and October 2012 after cardiac surgery;and treat them with continuous renal replacement therapy. Among 26 cases, 12 survived, and survival rate was 46.15%. 14 cases died with death rate of 53.85%, among them 3 cases died of sudden malignant arrhythmia, 4 cases of multiple organ failure, 7 cases of low cardiac output syndrome which is hard to cure. Conclusion continuous renal replacement therapy for patients with early severe right heart failure after cardiac surgery greatly improves survival rate, which is worthy of being spreaded.