肾康联合透析治疗慢性肾衰竭合并脑出血12例临床观察

Renal Injection with Dialysis Therapy Chronic Renal Failure with Cerebral Hemorrhage in 12 Cases of Clinical Observation

[目的]观察肾康联合透析治疗慢性肾衰竭合并脑出血疗效。[方法]采用前瞻性设计,使用疗效观察的方法,将12例住院患者进行治疗效果比较。采用无肝素血液透析治疗:即住院第1周每日行血液透析治疗1次,每次2~2.5h,血流量200mL/min;第2周开始隔日透析一次,即3次/周,每次血液透析时间3.5~4h,血流量180~250mL/min,肾康注射液(100mL/d,静滴半月)凉血散瘀、益气活血、利湿泄浊,促使脑出血肿块的消散吸收而减轻脑水肿;2周后采用低分子肝素抗凝,规律血液透析,连续治疗2疗程(28d),判定疗效。[结果]基本痊愈2例,显著进步5例,进步2例,无效3例,恶化0例,总有效率为75%,死亡率为25%。[结论]肾康注射液联合透析治疗慢性肾衰竭合并脑出血,疗效满意,无严重不良反应,值得推广。

[Objective] To observe the renal injection joint dialysis treatment of chronic renal failure with cerebral hemorrhage curative effect. [Methods] Adopt forward-looking design, use the curative effect observation methods, 12 cases of hospitalized patients to treatment effect comparison. Using heparin blood dialysis treatment： 1 week 1 line daily hemodialysis treatment in hospital time, every time 2-2.5 h, the blood flow of 200mL/min; Started dialysis to go once every 2 weeks or three times a week, and each hemodialysis time 3.5-4 h, the blood flow of 180-250 ml/min, combined with traditional renal injection （100mL/d, the static drop halO cool blood stasis, yiqi huoxue, lishi drain turbidity, prompting dissipate lump intracerehral hemorrhage absorption and relieve cerebral edema; Two weeks after using low molecular heparin anticoagulation, regular hemodialysis, and continuous treatment 2 period of treatment （28 d）, to determine efficacy. [Results] The basic healing in 2 cases, significant improvement in 5 cases, progress in 2 cases, ineffective in 3, deteriorating 0 cases, the total effective rate was 75%, the mortality rate of 25%. Renal injection. [Conclusion] Joint dialysis treatment of chronic renal failure with cerebral hemorrhage, curative effect is satisfied, no serious adverse reactions, worthy of promotion.