摘要
目的:探讨血液灌流联合连续性血液滤过(CRRT)在重症急性胰腺炎(SAP)中的治疗价值。方法:15例重症急性胰腺炎患者,在常规治疗同时,加用血液灌流联合连续性血液滤过方法,观察治疗过程中生命体征及生化指标变化情况。结果;15例患者治疗后体温、心率、呼吸频率、平均动脉压、氧和指数、血淀粉酶、血肌酐、血尿素氮、总胆红素、CRP等较治疗前有明显好转。结论:血液灌流联合血液滤过可作为治疗重症急性胰腺炎的常规方法,早期、连续地行血液灌流联合CRRT治疗更有利于改善SAP的预后。
Abstract Objective: hemopeffusion com- bined continuous hemofihration (CRRT) in severe acute pancreatitis(SAP) in the ther- apeutic value. Methods:fifteen patients with severe acute pancreatitis patients, while in the conventional treatment, plus hemoperfu- sion combined continuous blood filtration method to observe the course of treatment vital signs and biochemical changes. Re- sults:of fifteen patients after treatment body temperature, heart rate, respiratory rate, mean arterial pressure, oxygen and index, serum amylase,serum ereatinine, blood urea nitrogen,total bilirubin, CRP and other sig- nificant improvement compared with before treatment. Conclusion: hemoperfusion com- bined hemofiltration for the treatment of se- vere acute pancreatitis conventional meth- ods, early, continuous line hemoperfusion combined CRRT therapy is more conducive to improving the prognosis of SAP. Key Words blood perfusion of blood filtra- tion applications in severe acute pancreatitis
关键词
血液灌流
血液滤过
重症急性胰腺炎
临床应用
blood perfusion of blood filtra-tion applications in severe acute pancreatitis