摘要
目的探讨连续性静脉-静脉血液滤过(continuous veno-venous hemofiltration,CV-VH)治疗多脏器功能障碍综合征(multiple organ dysfunction syndrome,MODS)的方法和疗效。方法回顾性分析了行CVVH治疗的各种原因所导致的MODS患者14例计61次的临床资料,分析其疗效、并发症及治疗前后生化指标的变化。结果61次治疗中,患者均能较好耐受,溶质清除率高。无严重低血压及失衡反应,无血液净化相关性死亡。结论CVVH模式血液动力学稳定,对中小分子溶质清除率高,是治疗MODS的一种有效手段。
Objective To investigate the method and the efficacy of continuous veno-venous hemofihration （CVVH） in treatment of multiple organ dysfunctions syndrome （MODS）. Methods We retrospectively analyzed the clinical data of 61 cases of 14 MODS patients,whom were treated by CVVH,and the MODS were caused by a variety of reasons, and analyzed its effects, complications and the biochemistry indicators before and after the treatments. Resuits Among 61 cases, the patients could tolerate it well, the percentage of solute clearance is high. There was no syndroms happened such as serious hypotcnsion, disepuilibrium syndrome,and blood purification related death. Conclusion The blood dynamics of CVVH is stable, the percentage of solute clearance to small and medium-sized molecular solute is high. CVVH is an effective means for treating MODS.
出处
《透析与人工器官》
2008年第3期11-13,共3页
Chinese Journal of Dialysis and Artificial Organs
