节点文献
连续性静脉-静脉血液滤过治疗重症急性胰腺炎的疗效
Efficacy of continuous veno-venous hemofiltration in treating severe acute pancreatitis treated
【摘要】 目的观察连续性静脉-静脉血液滤过(CVVH)治疗重症急性胰腺炎(SAP)的疗效。方法回顾性分析21例SAP患者的临床资料,比较采用CVVH法治疗前后的生化指标变化、急性生理与慢性健康评分(APACHEⅡ)及并发症。结果治愈18例,治愈率为85.7%。治疗后,血尿素氮、血清肌酐和ALT均较治疗前降低,APACHEⅡ评分改善(P<0.05或P<0.01)。未出现与CVVH相关的严重并发症。结论早期行CVVH治疗能有效改善SAP患者病情,减少并发症。
【Abstract】 Objective To observe the efficacy of continuous veno-venous hemofiltration(CVVH)in the treatment of patients with severe acute pancreatitis(SAP).Methods Data of 21 patients with SAP were retrospectively analyzed and the biochemical indicators,acute physiology and chronic health evaluation(APACHE Ⅱ)scores and complications were compared before and after CVVH treatment.Results Of 21 cases,18cases were cured with a cure rate of 85.7%.Compared with before CVVH,blood urea nitrogen(BUN),serum creatinine(SCr),ALT and APACHEⅡscores were decreased after treatment(P<0.05 or P<0.01).There were no serious complications associated with CVVH after treatment.Conclusion Taking CVVH therapy early can effectively improve the condition of SAP patients and reduce the complications.
【Key words】 Continuous veno-venous hemofiltration; Severe acute pancreatitis;
- 【文献出处】 江苏医药 ,Jiangsu Medical Journal , 编辑部邮箱 ,2015年18期
- 【分类号】R576
- 【被引频次】8
- 【下载频次】22