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连续性静脉-静脉血液滤过对Ⅰ型心肾综合征的临床疗效观察

Clinical observation of continuous veno-venous hemofiltration on type Ⅰ heart and kidney syndrome
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摘要 目的探讨连续性静脉-静脉血液滤过(continuous venovenous hemofihration,CVVH)对Ⅰ型心肾综合征患者的顽固性心衰及渐进性肾衰的缓解作用。方法采用CVVH的方法治疗Ⅰ型心肾综合征患者20例(血滤组),观察其治疗前后心功能及各项临床指标的变化,并与单纯应用药物治疗心肾综合征患者(对照组)作对比。结果血滤组患者治疗后心功能及临床不适症状等均明显改善,而对照组则变化不明显,甚至加重。结论 CVVH能够显著改善Ⅰ型心肾综合征患者的心、肾功能,且疗效确切,无明显不良反应。 Objective To evaluate the effect of continuous veno-venous hemofiltration(continuous venovenous hemofihration,CVVH) on the heart and kidney syndrome in patients with type Ⅰ refractory heart failure and progressive renal failure mitigation.Methods The method of CVVH treatment of heart and kidney syndrome type Ⅰ 20 cases(blood filter group) to observe cardiac function before and after treatment and various clinical parameters change,and with the simple application of drug therapy in patients with heart and kidney syndrome(control group) for comparison.Results The blood filtration treatment patients heart function and clinical symptoms improved significantly,while the control group did not change significantly,or even worse.Conclusions CVVH can significantly improve heart and kidney syndrome in patients with type Ⅰ heart kidney syndrome,and effective,without significant side effects.
作者 申新宏
出处 《医药论坛杂志》 2011年第17期98-99,102,共3页 Journal of Medical Forum
关键词 Ⅰ型心肾综合征 连续性静脉-静脉血液滤过 心力衰竭 Heart and kidney syndrome type Ⅰ Continuous veno-venous hemofiltration Heart failure
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参考文献6

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