连续性肾脏替代治疗在多器官功能衰竭救治中的临床应用

TREATMENT OF MULTIPLE ORGAN FAILURE WITH CONTINUOUS RENAL REPLACE THREAPY

目的 :研究连续肾脏替代治疗 (continuousrenalreplacethreapyCRRT)在多器官功能衰竭治疗中的应用。方法 :1996～ 2 0 0 2年采用CRRT治疗患者 30例。结果 :30例患者中 2 0例渡过危险期 (存活组 ) ,存活率达6 6 .6 7% ,10例死亡 ,死亡率 33.33%。结论 :CRRT能有效控制多器官功能衰竭病人的水、电解质和酸碱平衡 ;CRRT能有效改善多器官功能衰竭患者的预后。

Objective:To investigate the role of CRRT in 30 patients with multiple organ failure.Methods:We treated 30 patients with multiple organ failure with CRRT in our hospital from 1996 to 2002.Result:Twenty patients survived in the critical phase of their illness and 10 patients died.Conclusion:CRRT can maintain the balance of dielectric and acidity and alkaline in patients with multiple organ failure.CRRT can make a prognostic improvement for the patients with multiple organ failure.The clinical use of CRRT need a further investigation.