连续性肾脏替代疗法治疗急性肾功能衰竭的临床观察(1)
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【摘要】 目的 观察连续性肾脏替代疗法(CRRT)治疗重症急性肾功能衰竭(ARF)的疗效和对预后的影响。方法 对2003年以来16例ARF(伴发多器官功能障碍综合征，MODS)患者进行CRRT的临床资料回顾性分析。结果 11例患者经CRRT治疗24 h后，生命指征平稳，BUN、Scr下降(P2CP)正常，85~264 h后进入多尿期；5例患者死于严重创伤或MODS。治疗过程中无低体温和低血压等并发症。结论 CRRT治疗重症ARF患者，血液动力学稳定，溶质清除率高，有利于营养支持及清除炎性细胞因子，从而改善重症ARF患者的预后。
【关键词】替代疗法；肾功能衰竭
Continuous renal replacement therapy for acute renal failure
ZHEN Dong-wen,LI Yi,HE Xiao-yan,et al.Dongguan People’s Hospital,Guangdong 523000,China
【Abstract】 Objective To evaluate the efficacy and prognostic significance of continuous renal replacement therapy on acute renal failure.Methods Clinical characteristics of 16 patients with acute renal failure (accompanied with multiple organ dysfunction syndromes) were retrospectively studied.Results Vital signs of 11 patients become normal after 24 hours of Continuous renal replacement therapy ......
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