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连续性静-静脉血液滤过在挤压综合征中的治疗作用 被引量:7

The treatment effect of continuous veno-venos hemofiltration on crush syndrome
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摘要 目的探讨连续性静-静脉血液滤过(CVVH)对挤压综合征(SC)的疗效。方法36例SC患者随机分成CVVH组(14例)和对照组(22例),对照组采用常规综合治疗方法,CVVH治疗组在常规综合治疗的同时进行CVVH治疗。两组均同时监测血白细胞、肌苷、尿素氮、肌红蛋白等指标及并发症、平均住院时间。结果CVVH组各项指标的改善程度均优于对照组,心率失常、休克等并发症的发生率亦低于对照组。CVVH组平均住院时间(21.2±6.3)d,短于对照组(28.9±8.6)d。结论CVVH对挤压综合征患者有显著的疗效。 Objective To explore the treatment effect of continuous veno-venos hemofiltration (CVVH) on crush syndrome(CS). Methods Thirty -six CS patients were randomly divided into CVVH group( n = 14) and control group( n = 22). Patients in control group were treated with conventional therapy , while patients in CVVH group were treated with conventional therapy combined with CVVH. The plasma levels of WBC(white blood cell), Cr,BUN, Myoglobin and others were determined. Results The progressions of CVVH group were better than control group. The average of hospitalized day of CVVH group (21.2 ± 6.3 ) d was shorter than that of control group ( 28.9 ± 8.6) d. Conclusion CVVH has an obvious treatment effect on crush syndrome.
作者 董伟
出处 《临床医学》 CAS 2005年第11期14-16,共3页 Clinical Medicine
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  • 1L. Cole,R. Bellomo,D. Journois,P. Davenport,I. Baldwin,P. Tipping. High-volume haemofiltration in human septic shock[J] 2001,Intensive Care Medicine(6):978~986
  • 2A. Sander,W. Armbruster,B. Sander,A. E. Daul,R. Lange,J. Peters. Hemofiltration increases IL-6 clearance in early systemic inflammatory response syndrome but does not alter IL-6 and TNFα plasma concentrations[J] 1997,Intensive Care Medicine(8):878~884
  • 3季大玺,谢红浪,刘芸,徐斌,任冰,龚德华,张素琴,黎磊石.连续性肾脏替代治疗在重症急性肾功能衰竭及多器官功能障碍综合征救治中的应用[J].中国危重病急救医学,1999,11(9):550-553. 被引量:76

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