【摘要】 目的:探讨分析连续性肾脏替代疗法(CRRT)对重症急性胰腺炎(SAP)的治疗效果。方法:选择入住本院ICU的SAP患者15例,在一般治疗的基础上给予CRRT治疗,观察治疗前后患者症状改善情况,收集生命体征、血生化等指标,观察治疗过程中出现的不良反应,并对收集数据进行统计学分析。结果:CRRT治疗过程中未出现严重不良反应,15例患者11例存活,4例死亡,CRRT治疗后患者生命体征趋于平稳,肝肾功、淀粉酶、脂肪酶下降,统计学分析示P<0.05,治疗后CRP下降,统计学分析示P<0.01。结论:在一般治疗的基础上早期结合CRRT能有效改善SAP患者的病情,降低死亡率。更多还原

【Abstract】 Objective:To analyze the effect of continuous renal replacement therapy(CRRT) in severe acute pancreatitis(SAP) patients.Methods:Chose 15 patients with SAP were included in this study from our hospital.Continuous renal replacement therapy was performed also with the traditional treatments.We monitored the changes of symptom,physical sign,laboratory examination and side-effect during CRRT.Results:No severe side-effect was observed in the 15 patients treated with CRRT.11 patients survived,4 patients died.Clinical symptoms such as abdominal pain and distention remitted.The level of ALT,AMY,LPS,BUN,Cr decreased(P<0.05).Serum concentration of CRP decreased significantly(P<0.01).Conclusion:CRRT can decrease both complications and mortality in SAP patients based on traditional treatments.更多还原