连续性静脉-静脉血液滤过；急性肾衰竭；老年人____

日间连续性静脉-静脉血液滤过治疗高龄老年急性肾衰竭伴多脏器衰竭46例回顾

http://www.100md.com 《中华现代内科学杂志》 2007年第1期

连续性静脉-静脉血液滤过；急性肾衰竭；老年人,,],连续性静脉-静脉血液滤过；急性肾衰竭；老年人,1资料与方法,2结果,3讨论,[参考文献]

     [摘要] 目的观察日间连续性静脉-静脉血液滤过(CVVH)用于高龄老年重症急性肾功能衰竭(ARF)伴多器官功能衰竭(MOF)患者中的临床疗效以及治疗并发症的情况。方法回顾性分析我院接受日间CVVH治疗的46例ARF患者的临床资料，年龄80~101(85.6±5.5)岁，观察CVVH的疗效及治疗过程中血压、心率等生命体征，监测治疗前后血尿素氮、肌酐、电解质、动脉血气变化，同时观察CVVH治疗中并发症情况。结果所有患者对CVVH治疗均耐受良好，治疗过程中血压、心率平稳，血流动力学稳定。与治疗前相比较，血尿素氮、肌酐显著下降(P<0.05)，电解质紊乱、酸中毒得到纠正。46例患者中存活时间超过2周者34例(73.9%)，3例肾功能恢复正常。治疗中技术相关并发症发生率低，其中4例出现导管相关性感染，10例并发出血，经积极处理后好转。结论高龄老年人应用日间CVVH救治ARF伴MOF是安全有效的，良好的内环境、稳定的血流动力学有助肾功能的恢复。CVVH并发症少，是救治高龄ARF的首选治疗手段。

    [关键词] 连续性静脉-静脉血液滤过；急性肾衰竭；老年人

    Daytime continuous venovenous hemofiltration treatment of acute renal failure complicated with multiple organ failure in 46 very elderly patients

    YAN Zhenwen,SUN Jianshe,YE Zhibin，et al.

    Department of Nephrology，Huadong Hospital，Shanghai 200040，China

    [Abstract] Objective To observe the efficacy of daytime continuous venovenous hemofiltration ( CVVH) in the treatment of elderly patients with severely acute renal failure.The complications during CVVH were also recorded.Methods The clinical data including blood pressure，heart rate，BUN,Scr，electrolyte，arterial blood gas of fortysix elderly patients aged 80~101 years ( average age was 85.6±5.5 years) with ARF and MOF treated with CVVH were analyzed.The complications were observed during CVVH. Results CVVH was well tolerated in all of the patients.During the period of treatment ......

百拇医药网 http://www.100md.com/html/DirDu/2007/02/17/37/53/10.htm

您现在查看是摘要页，全文长 10124 字符。