【摘 要】目的：探讨对重症监护室(ICU)接收的脓毒血症合并急性呼吸窘迫综合征(ARDS)患者，应用连续性肾脏替代疗法(CRRT)治疗的效果。方法：选取收治的74例ICU脓毒血症合并ARDS患者并且随机分成研究组与对照组各37例，对照组采取常规方法治疗，研究组采取CRRT治疗，比较两组治疗效果。结果：治疗后两组EVLWI、CI较治疗前降低，MAP、CVP较治疗前提高，研究组指标变化幅度较对照组更显著(P<0.05);治疗后两组APACHEⅡ评分较治疗前降低，研究组评分降低幅度较对照组更显著(P<0.05)，研究组住ICU时间明显较对照组短(P<0.05)。结论：针对ICU病房的脓毒血症伴ARDS患者，采取CRRT治疗有满意效果，缩短患者住ICU时间，值得推广。

    【关键词】连续性肾脏替代疗法;ICU;脓毒血症;急性呼吸窘迫綜合征;

    Abstract Objective： To investigate the effect of continuous renal replacement therapy (CRRT) on patients with sepsis and acute respiratory distress syndrome (ARDS) received in the intensive care unit (ICU). Methods： A total of 74 ICU sepsis patients with ARDS were selected and randomly divided into a study group and a control group ......