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连续性静静脉血液滤过治疗重症急性胰腺炎的监护 被引量:7

Monitor and care of CVVH in treating acute severe pancreatitis
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摘要 目的探讨连续性静静脉血液滤过(CVVH)治疗重症急性胰腺炎的护理方法及生命体征监护的意义。方法对14例重症急性胰腺炎患者CVVH治疗前后体温、呼吸、心率、平均动脉压、中心静脉压(CVP)、指末氧饱和度(SpO2)的变化及影响CVVH正常运转的因素进行观察。结果CVVH治疗后,重症急性胰腺炎患者体温、呼吸、心率、平均动脉压、CVP均下降,SpO2上升,血流动力学稳定。结论重症急性胰腺炎患者采用CVVH治疗后,临床症状得到有效的缓解;治疗中应严密监护患者的生命体征,对指导CVVH参数设定起着关键作用。 ObjectiVe To study nursing method of Continuous veno-venous hemofihration (CVVH) andsignificance of monitoring vital sign in treating severe acute pancreatitis (SAP). Methods The change of patients' temperature, respiration rate, heart rate, mean arterial pressure (MAP), central venous pressure( CVP), pulse oxygen saturation( SpO2 ) and the factors of influencing CVVH machine' s running were observed before and after of CV-VH treatment in 14 SAP patients. Results After CVVH the patient' s T, RR, HR, MAP, CVP decreased, but SpO2 improved. Hemodynamics remained stabilized. Conclusion CVVH can improved the clinical symptom of patients with SAP and closely monitoring vital sign plays an important role in instructing CVVH parameter setting during the treatment.
出处 《中国临床保健杂志》 CAS 2007年第4期369-371,共3页 Chinese Journal of Clinical Healthcare
关键词 胰腺炎 血液滤过 重症监护 Pancreatitis Hemofihration Intensive care
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