摘要
【目的】观察并分析连续血液净化治疗急性重症胰腺炎(sAP)的效果。【方法】回顾性分析本院1998-2009年期间采用连续性静-静脉血液滤过(CVVH)方法治疗SAP75例的临床资料,比较患者治疗前后临床表现,血清尿素氮(BUN)、肌酐(SCr)、APACHEⅡ评分的变化。【结果】75例患者均很好的耐受治疗。经过连续血液净化治疗,患者的临床表现及血液生化检验指标、APACHEⅡ评分等均有明显改善,大大降低了SAP的病死率。【结论】连续性血液透析滤过可成为SAP患者重要而安全可靠的治疗措施。
[Objective]To observe and analyze the efficacy of continuous blood purification (CBP) in the treatment of acute severe pancreatitis(SAP) patients. [Methods] Seventy five patients with SAP underwent CBP from 1998 to 2009. Continuous veno-venous hemofiltration (CVVH) was performed. Clinical signs, serum urea nitrogen (BUN), serum creatinine (Scr), and acute physiology and chronic health evaluation (A- PACHEⅡ ) before and after treatment were compared. [Results]CVVH was well tolerated in all of the patients. Compared with those before treatment, .clinic signs were improved, and BUN, Scr and APACHE Ⅱ were decreased significantly. The mortality rate was greatly lower. [Conclusion] Continuous blood purification therapy is safe and effective for acute severe pancreatitis patients.
出处
《医学临床研究》
CAS
2010年第2期308-309,共2页
Journal of Clinical Research