连续性静脉-静脉血液滤过治疗心脏病术后急性肾功能衰竭的护理

Nursing of continuous veno- venous hemofiltration treatment acute renal failure after cardiac surgery

目的:观察连续性静脉-静脉血液滤过(CVVH)治疗心脏病术后急性肾功能衰竭(ARF)的效果,减少护理并发症,提高治疗的安全性和有效性。方法:对53例心脏病术后并发重症ARF患者进行CVVH治疗,观察治疗前后患者MAP,CVP,BUN,Scr,K+等的变化,观察治疗过程中护理并发症发生情况。结果:53例患者经过CVVH治疗后32例存活,15例死亡,6例放弃治疗。存活患者经过CVVH治疗后CVP,Scr,BUN,K+,MAP升高。结论:连续性静脉-静脉血液滤过治疗ARF对于缓解患者临床症状和改善预后是一个有效的治疗手段,治疗过程中科学的护理计划,严密的护理监测和管理是使患者安全及治疗有效的保证。

Objective：To observe the nursing of the continuous veno-venous hemofiltration （CVVH） treatment acute renal failure after cardiac surgery （ARF）,reduce nursing complications and improve the safety and effectiveness of treatment.Methods：53 cases of ARF with severe complications after cardiac surgery were treated with CVVH,patients with MAP,CVP,BUN,Scr,K ＋ were observed before and after treatment,observation and nursing of complications during the treatment of occurrence.Results：After CVVH treatment 32 patients survived,15 patients died,and 6 patients gave up treatment.CVP,serum creatinine and blood urea nitrogen decreased,MAP and urine increased in survivors.Conclusion：CVVH in the treatment of ARF for the relief of clinical symptoms and improve the prognosis of the patients is an effective means of treatment,nursing science in the course of treatment,nursing and monitoring and strict management is the effective guarantee patient safety and treatment.