CVVH 治疗多脏器功能衰竭的临床观察.pdf

CVVH#?54陈小丽(vD/=S,nullnull343000)ms|:R459.5nullnullDS:BnullnullcI|:1001-5779(2010)06-0968-01nullnulll2009M12010M612-ArV(CVVH)#?fbC/b1null51.1null一般资料null12(#?,38,o4b?h2Uhakaab12(6#Uhb1.2nullCVVH方法null5Y(5,nCRRT,APORTAZ,Ps0F,180mL/min,A2400L/h,QHW2426hb1.3null4:c-aaaraiMfb1.4null实验室检查null-_/?a#=Mb1.5null统计方法nullt_ZEb2nullnullT2.1null临床转归null122y?hy,zb2.2null实验室指标变化nullnV1bV1null-LiSMsFU)K=-36null10556null209135null94.7null1.815null5.117null9262null180139null53.5null0.827null3.5t4.893.691.352.116.72P0.00010.00130.190.0460.0002.3null临床症状体征变化nullv,qv/,v,iMvbb3null)null#D?Z,5?#?,N%hVB,7Ohq#M1,14#hqsY25.6%a52.3%a82.4%a100%,i3#,/?3ibUU,50Es4,V,#l,y,a,BFk#?,CVVHV5,79,res,a,!7/HqbCVVH9/#?,+YaICU%hMODS,V?A3bTbGomez,GrootendrstLeesYLCVVH?Hb,iq41-3bCVVHVF,#?bCVVHYVbWa9FL%?,V7F；bL%|8A4bCVVHV,5?,rV(a#a(9,(,PaO2/FiO26,s5brVby0,V?1MbH,CVVH,?Y,i%z,#aR%h=b,CVVHVaaa,b,=bCVVH#*,V#*Edb#Z,h*B,%h,CVVHB9v,rM,B#?,T#HCVVHbID:1nullGomezA,WangR,UnruhH,eta.lHemofiltrationrevernullsesleftvrntriculardysfunctionduringsepsisindogsJ.Anesthesiology,1990,73:671.2nullGrootendorstAF,vanBommelEF,vandreHovenB,eta.lHighvolumehemofiltrationimprovesrightventricularfunctioninendotoxin-inducedshockinthepigJ.InnulltensiveCareMed,1992,18:235.3nullLeePA,MastonJR,PryorRW,eta.lContinuousarterionullvenoushemofiltrationtherapyforstaphylococcusaureusnullinducedsepticaemiainimmatureswineJ.CritCareMed,1993,21:914.4nullKomeckiA,TaumanR,LubekzkyR,eta.lContinuousrenullplacementtherapyfornonnullrenalindications:experienceinchildrenJ.IsrMedAssocJ,2002,4(5):345-348.5nullRcevJH,ButtWW,ShannF,eta.lContinuousplasmafdtranulltiouinsepsissyndromeJ.CritCareMed,1999,27:2096.(l:2010-09-28)968306nullnullnullnullnullnullnullnullnullnullnullnull2nullDnullnullnullnullnullnullnullnullnullnullnullnullnullnullVol.30NO.62010M12nullnu