【摘要】 目的:探讨连续血液净化(CBP)治疗急性呼吸窘迫综征(ARDS)的疗效。方法:在常规治疗ARDS的基础上,以日间连续静脉血液滤过(CVVH)模式给予治疗。结果:CBP治疗后动脉血氧合指数(PaO2/FiO2)呈进行性上升,治疗4h氧合指数明显升高。机械通气时间2d～16d,平均5.5d,CVVH时间48h～240h,平均84h,存活16例,死亡6例,其中自动出院死亡2例,死亡率28.0%。结论:联合应用CBP治疗ARDS疗效肯定,是具有前景的治疗ARDS的方法。更多还原

【Abstract】 Objective:To investigate the efficacy of CBP on the treatment of acute respiratory distress syndrome.Methods:on the basis of conventional therapy of COPD,daytime continuous veno-venous hemofiltration with Prisma machine was added.Results there was a progressive rise of Oxygenation index(PaO2/FiO2) after CBP treatment.Especially 4 hours after CBP therapy,PaO2/FiO2 increase obviously.The duration of mechanical ventilation was 2 d～16 d,the average was 5.5 d,the duration of CVVH was 48h～240 h,the average was 84 hours.16 cases survived,6 cases died and 2 cases among them were died due to auto-matic discharge.Death rate was 28%.Conclusions:Its positive efficacy of ARDS conventional therapy combined with CBP,which was prospective way for ARDS treatment.更多还原