床边持续性血液滤过治疗肾综合征出血热的临床分析

Clinical analysis of bedside continuous hemofiltration in the treatment of hemorrhagic fever with renal syndrome

目的:探讨床边持续性血液滤过在肾综合征出血热(HFRS)的临床效果。方法:收治HFRS患者100例,分为血液透析组(HD组)和床边持续性血液滤过组(CVVHDF组)各50例,比较患者治疗15 d后BUN、CREA、K、Na、ALT、AST、WBC、PLT、中性粒细胞数恢复情况。结果:CVVHDF组在BUN、CREA下降程度较HD组明显(P<0.05)。结论:CVVHDF能更好地清除BUN、CREA,是治疗HFRS的有效方法。

Objective:To explore the clinical effect of bedside continuous hemofiltration in hemorrhagic fever with renal syndrome(HFRS).Methods:100 patients with HFRS were selected.They were divided into the hemodialysis group(HD group) and the bedside continuous hemofiltration group(CVVHDF group) with 50 cases in each.After 15 days for treatment,BUN,CREA,K,Na, ALT,AST,WBC,PLT,neutrophil recovery situation of patients were compared.Results:The BUN,CREA decreased degrees of CVVHDF group were obvious than those of HD group(P<0.05).Conclusion:CVVHDF can better eliminate BUN,CREA.It is an effective method in the treatment of HFRS.