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连续性静-静脉血液滤过对烧伤脓毒症患者的治疗作用 被引量:2

Efficacy of continuous veno-venous hemofiltration in treatment of sepsis following severe burns.
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摘要 目的探讨连续性静-静脉血液滤过(CVVH)对烧伤脓毒症患者的疗效。方法36例烧伤患者随机分成CVVH组14例和对照组22例,对照组采用常规综合治疗方法,CVVH治疗组在常规综合治疗的同时进行CVVH治疗。两组均同时监测血白细胞、肌酐、尿素氮、钾离子、血浆肿瘤坏死因子(TNF)、白细胞介素-1(IL-l)、IL-6和内毒素(LPS)浓度等指标及并发症。结果CVVH组各项指标的改善程度均优于对照组。结论CVVH对烧伤脓毒症患者有显著的疗效。 Objective To explore the efficacy of continuous veno - venous hemofiltration (CVVH) in treatment of patients with sepsis follow- ing severe bums. Methods Thirty - six CS patients were randomly divided into CVVH group ( n = 14 ) and control group ( n = 22 ). Patients in control group were treated with conventional therapy while patients in CVVH group were treated with conventional therapy combined with CVVH. The WBC(white blood cell) count and plasma levels of Cr, BUN, K + ,TNF, IL - 1 ,IL -6, LtXS and other inflammatory mediators of all patients were examined. Results The improvement of laboratory indices in patients of CVVH group was much better than those of patients in control group. Conclusion CVVH has significant efficacy on treatment of patients with sepsis following severe burns.
作者 董伟
出处 《临床和实验医学杂志》 2007年第12期65-66,共2页 Journal of Clinical and Experimental Medicine
关键词 连续性静-静脉血液滤过 烧伤 脓毒症 炎性介质 疗效 Continuous veno - venous hemofiltration Burn Sepsis Inflammatory mediators Efficacy
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