世界最新医学信息文摘（连续型电子期刊）
世界最新醫學信息文摘（連續型電子期刊）
세계최신의학신식문적（련속형전자기간）
World Latest Medicine Information
2015年
65期
12-12,13
,共2页
高钠血症%连续性血液净化%治疗%危重病
高鈉血癥%連續性血液淨化%治療%危重病
고납혈증%련속성혈액정화%치료%위중병
Hypernatremia%Continuous blood purification%Treatment%Acute severe disease
目的：分析连续性血液净化（CBP）治疗危重病合并高钠血症的效果。方法随机选取35例危重病合并高钠血症患者为研究对象，均给予CBP治疗，观察患者的治疗结果。结果①治疗后6h、9h、12h、24h的血钠浓度、渗透压、置换液钠浓度均较治疗前明显减低（P＜0.05）；②存活组患者的血钠水平、高血钠持续时间、APACHEⅡ评分均显著低于对照组（P＜0.05）。结论采用CBP治疗危重病合并高钠血症，疗效确切，值得临床推广。
目的：分析連續性血液淨化（CBP）治療危重病閤併高鈉血癥的效果。方法隨機選取35例危重病閤併高鈉血癥患者為研究對象，均給予CBP治療，觀察患者的治療結果。結果①治療後6h、9h、12h、24h的血鈉濃度、滲透壓、置換液鈉濃度均較治療前明顯減低（P＜0.05）；②存活組患者的血鈉水平、高血鈉持續時間、APACHEⅡ評分均顯著低于對照組（P＜0.05）。結論採用CBP治療危重病閤併高鈉血癥，療效確切，值得臨床推廣。
목적：분석련속성혈액정화（CBP）치료위중병합병고납혈증적효과。방법수궤선취35례위중병합병고납혈증환자위연구대상，균급여CBP치료，관찰환자적치료결과。결과①치료후6h、9h、12h、24h적혈납농도、삼투압、치환액납농도균교치료전명현감저（P＜0.05）；②존활조환자적혈납수평、고혈납지속시간、APACHEⅡ평분균현저저우대조조（P＜0.05）。결론채용CBP치료위중병합병고납혈증，료효학절，치득림상추엄。
Objective To analyze effect of continuous blood purification (CBP) in treating acute severe disease with hypernatremia.Method randomly choose 35 cases patients with acute severe disease and hypernatremia as study objects, and treated them with CBP, then observe treatment results.Result①serum sodium concentration, osmotic pressure and sodium concentration in replacement fluid after 9h, 12h, 6h, 24h of treatment was significantly lower than that before treatment (P < 0.05);②serum sodium level, duration of high serum sodium and APACHE II scores in survival group was signiifcantly lower than that ofcontrol group (P< 0.05).Conclusion treating acute severe disease and hypernatremia by CBP receives exact curative effect, which is worthy of being spreaded clinically .
