连续血液滤过对重症急性胰腺炎的治疗作用
血液滤过;急性病;胰腺炎,,血液滤过;急性病;胰腺炎,0引言,1对象和方法,2结果,3讨论,【参考文献】
Curative effect of continuous venovenous hemofiltration in patients with severe acute pancreatitisCHEN JiaYu, ZHANG FangXin, WU HongMei, LIU LiHua, ZHAO Li
Department of Digestive Diseases, Lanzhou General Hospital, Lanzhou Military Area Command, College of Traditional Chinese Medicine of Gansu Province, Lanzhou 730050, China
【Abstract】 AIM: To observe the treatment effect of continuous venovenous hemofiltration (CVVH) in patients with severe acute pancreatitis(SAP). METHODS: Twentysix SAP patients were randomly divided into 2 groups: CVVH group (A, n=11) and control group (B, n=15). Both of group A and B were treated with conventional therapy, while the patients in group A additionally underwent CVVH. Heart rate (HR), respiration(R), blood pressure (BP), functions of liver, kidney and gastrointestine were observed. PO2/FiO2, SaO2, plasma levels of electrolyte and glucose, Creactive protein (CRP) and blood routine were determined. APACHEⅡ scores were used to evaluate the patients conditions. RESULTS: White blood cell(WBC), plasma levels of glucose and calcium were improved in group A and B 24 h after treatment (P<0.05). Group A was better than group B in terms of the functions of liver, kidney and APACHEⅡ scores (P<0.05). Seven days later, CRP was decreased in both A and B (P<0.05), but more distinctly in group A (P<0.05). B was also improved in the functions of liver, kidney and APACHEⅡ scores (P<0.05). The incidences of acute lung injury and complications were reduced significantly in the 2 groups (P<0.05). The hydrocele was removed rapidly in both chest and abdomen and the incidence of complications was decreased (P<0.05). CONCLUSION: CVVH may correct the liver and renal dysfunctions that were brought out by SAP, improve physical conditions, and prevent efficiently the complications. ......
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