连续性肾脏替代治疗对急性重症性胰腺炎治疗时机的探索

Exploration of Timing in Continuity Renel Replacement Theropy in Treatment for Severe Acute Pancreatitison

目的:探讨连续性肾脏替代治疗对急性重症胰腺炎的时机的选择。方法:2010年10月～2011年10月大庆油田总医院ICU患重症胰腺炎住院病例36例,在常规治疗的基础上加用CRRT,观察患者的生命体征、中心静脉压、尿量、肝功、肾功、血常规、电解质、血气、28天生存率等指标。结果:行CRRT组酸中毒、尿量恢复快,28天生存率明显上升。结论:常规治疗加CRRT组能明显改善SAP的预后,尤其是未出现急性肾损伤的早期治疗效果更佳。

Objective： To exploration of the timing in continuity renel replacement theropy in treatment for severe acute pancreatitis.Methods： Select 36 SAP patients in the Oil field General Hospital of Daqing in 2010.10-2011.10, based on routine treatment added with CRRT, Observed patient＇s life signs, the central enous pressure, urine, liver function, kidney function, blood gad analysis, 28 days survival rate and so on.Results： Acidosis and urine were faster recovery in patients with CRRT, 28 days survival rate was obviously higher.Conclusions： Routine treatment added with CRRT could effectively improve the prognosis of patients of SAP, the effect imight be much better especially before occurrence of acute kidney injury.