静脉泵注呋塞米在危重症治疗中的临床效果

The clinical effect of continuous using Furosemide through vein by micro pump in critical patients

目的评价静脉泵注呋塞米在危重症治疗中的临床效果。方法回顾性分析32例静脉泵注呋塞米治疗有少尿或/和心功能不全的呼吸衰竭、急性左心衰、心肺复苏术后多器官功能障碍综合征及急性肾功能衰竭的危重症患者,观察利尿效果和成功率。结果静脉泵注呋塞米治疗有少尿或/和心功能不全的呼吸衰竭成功患者10/12例、治疗急性左心衰成功患者5/7例、治疗心肺复苏术后多器官功能障碍综合征患者6例及急性肾功能衰竭患者7例均无成功,静脉泵注呋塞米尿量增加有19例,占59.38%,尿量平均增加1000 ml/d。结论采用静脉泵注呋塞米治疗危重症中非血容量减少少尿者和呼吸衰竭伴心功能不全者的效果是确切,这种用药方法的疗效可能与该药高水平血药浓度持续时间更长有关,值得在临床应用。

Objective: To evaluate the clinical effect of continuous using Furosemide through vein by micro pump in critical patients.Methods: Retrospective Analysis of 32 critical patients who accepted continuous using Furosemide through vein,which include respiratory failure with oliguria;respiratory failure with/without heart failure;acute left heart failure;multiple organ dysfunction syndrome(MODS) after cardiopulmonary resuscitation;acute renal failure.Results: 10 patients with respiratory failure and 5 patients w...