【摘要】 目的 :探讨持续性静脉血液透析滤过在治疗流行性出血热并发急性呼吸衰竭中的临床价值。方法 :对 10例流行性出血热并发急性呼吸衰竭患者行持续静 静脉血液透析滤过 ,每次持续 12h ,同时观察治疗前后血尿素氮、肌酐的变化及监测动脉血氧饱和度、氧合指数 (PaO2 /FiO2 )、呼吸频率、中心静脉压、平均动脉压、心率。结果 :肌酐、尿素氮、中心静脉压下降 (P <0 .0 0 1) ,氧饱和度、氧合指数有所改善 (P <0 .0 0 1) ,呼吸频率、平均动脉压和心率有所下降 ,但差异无显著性 (P >0 .0 5 )。结论 :持续性静 静脉血液透析滤过是流行性出血热并发急性呼吸衰竭的一种有效治疗方法。更多还原

【Abstract】 Objective:To explore the clinical value of continuous venous hemodiafiltration in epidemic hemorrhagic fever(EHF) with acute respiratory failure.Methods:Ten patients of EHF with acute respiratory failure were treated with continuous hemodiafiltration for 12 hours each time,changes in blood urea nitrogen and creatinine,oxygen saturation,oxygenation index(PaO\-2/FiO\-2),respiratory rate,central venous pressure,mean arterial blood pressure and heart rate were measured before and after hemodiafiltration.Results:Blood urea nitrogen,creatinine and central venous pressure were decreased( P <0.001),oxygen saturation oxygenation index were increased( P <0.001),respiration rate,mean arterial blood pressure and heart rate were decreased also,but the differences were not significant( P >0.05).Conclusions:Continuous venous hemodiafiltration is an effective therapy in EHF with acute respiratory failure. [更多还原