连续性静脉-静脉血液滤过在治疗重症急性胰腺炎患者中的应用

Application of Continuous Veno-venous Hemofiltration in the Treatment of Patients with Severe Acute Pancreatitis

目的探讨连续性静脉-静脉血液滤过(continuous veno-venous hemofiltration,CVVH)在重症急性胰腺炎(severe acute pancreatitis,SAP)治疗中的应用。方法回顾性分析25例SAP患者在常规治疗的基础上行CVVH治疗,并对治疗前后生命体征、急性生理与慢性健康估测评分Ⅱ(APACHEⅡ)及生化指标进行检测和分析。结果与治疗前相比较,CVVH治疗后临床症状、生命体征、APACHEⅡ评分及生化指标的变化均具有统计学意义。结论在非手术常规治疗的基础上及时有效地行CVVH治疗,能有效地缓解临床症状,稳定生命体征、改善生化指标,是抢救SAP患者的重要手段之一。

Objective To discuss the application of continuous veno-venous hemofiltration（CVVH）in the treatment of patients with severe acute panereatitis（SAP）.Methods The data of 25 SAP patients were analyzed retrospectively.CVVH was used based on the conventional treatment,and the changes of the vital sign,APACHEII scores and the biochemical index were observed.Results Compared with the situation before the treatment,the changes of clinical symptoms,the vital sign,APACHEII scores and the biochemical index after the CVVH treatment had significant difference.Conclusion On the basis of non-operative treatments,the prompt and effective CVVH treatment can alleviate the clinical symptoms,make the vital sign to be stabilized and improve biochemical index,which is the one of most important methods to rescue SAP patients.