CRRT 治疗危重症患者的临床疗效与护理[J].pdf

CRRT5r吴null静,李瑞海,吴null琼(8Dii,null2null330006)Knull1:4CRRT-5ri9bZE:51CRRT,4UaaKa)a=aapHMbT:CRRT#8,UaA/,bKa)a=,pH,-sA(P0.05),iq28.3%b:CRRT?#y,=,4qb1oM:/9E(CRRT)；5r；ms|:R473.5nullnullDS:AnullnullcI|:1001-5779(2010)01-0148-02nullnullCRRT/9EMA/Z1B,CRRT/t,bAl?,7O1224hHWb8=Vs,AYl,i?5?1,XSB1ZE2b2008M22009M7CRRT51,C|5rT#8/b1nullZE1.1null临床资料null/=SICUlCRRT51,332,o19；M-2278；OF3；Ekhik=10,16,M1,$/4,217b(UU,ayb1.2null方法null|:ESPrismaflexCRRT,r#5*|M100,5Y:=/85；T:nullAr(CVVH)；FZE:_,Y,_Ps0,m|Eb:100180mLnullmin-1；ZT:-；:2000mLnullh-1；AZE:0.9%o)3000mLa5%$1000mLa10%$10mLa25%；1.6mLa10%oK10mL,|A836,5%_)4050mmoLnullh-1,bK#sT10%oKa10%$5%_)br:24h%bF5:37b1.3null统计学方法nullSPSS10.0d9q,(!SVU,t_b2nullnullT51CRRT,i18,iq28.3%bCRRT,U#A/；bKa)ao#=apHCRRTvi,-M1sA(P0.05),nV1bV1nullCRRT-A3SMHWScr/(nullmolnullL-1)BUN/(mmolnullL-1)K/(mmolnullL-1)Na/(mmolnullL-1)PCO2/mmHgpH-770.4!160.228.8!11.34.6!0.7135.6!8.936!10.67.1!1.4403.2!145.316.5!9.74.1!0.6136.2!5.041!8.47.3!1.1nullnullnull-1,P0.053null83.1null密切观察病情变化保持血管通路通畅nullh(24hSNSaqaaaS,1530min:c1Q,iMi4*aiMM；:caarat；:c24h,|A8eS,8=3by(5,i*baP-,i5ewa,_5L,45%,v,yNWFj,ia,EA1v,Yb3.2null并发症的护理3.2.1null低血压nullf,0ahf#?p1,98,yrh1bCCauW4aapa|sa,54UC,qV148301nullnullnullnullnullnullnullnullnullnullnullnull2nullDnullnullnullnullnullnullnullnullnullnullnullnullnullnullVol.30NO.12010M2nullnullnullnullnullnullnullnullJOURNALOFGANNANMEDICALUNIVERSITYnullnullnullnullnullnullnullFEB.2010,#HqTq,hf3$,A1HP60,b3.2.2null感染nullyF/,o13V5V；6BZ5haH5MYbhiDh,D?3bH,5)Caaaeihs,i)T,5)ba2,?01Q,534d01Q,)5AL,),5h)Ub3.2.3null血流不畅及导管栓塞nullv5ULC1,YV55VPY；5BQiH?39V?5uy1b5BUE,|U0.9%34mLd,=5a8=2mL,=lH,$8vb3.2.4null低体温null1yvPA,A81bii,Fpn,iPF5,F5RV37b3.2.5null出血nullCRRTVM4FrT,FV/,_,KzE,Fvi9F-dAbM4AavLag1#8aaf,iSPTAPTT,L#HF4Pb3.3nullCRRT治疗过程中主要故障原因及排除3.3.1null极端负值null1UaJ&aP-5M,_5saew,5,b3.3.2null血液中有气泡null5H,；F5),!V,#AH,b1；):|i/5,C,b),iA；F5!V37,P5=3；5HV7,1Qm,r,l；AH,5A?o,8b3.3.3null跨膜压报警nulln5；rE5x,CRRTHM4i:catara,t6,P3!5a9FF4,r,?,1*bID:1nullj!,t./9E4#J.D,2008,30(8):1273-1274.2nullb,.CRRT32s#J.SD0,2009,7(4):145-146.3null,.-ArVJ.S=,2007,26(4):392-394.(l:2009-12-08)=5Aii?#李意华(gD,nullnull341000)Knull1:=5Aii?,|r,=5i?3qbZE:27Sb=5Ais,bT:?313Q,2.55Q/1000d,?358Q,1.57Q/1000d,1?3b:iV=5i?|rn,?B?3q,4i3iHWb1oM:=5；Ai；i?；ms|:R473.5nullnullDS:AnullnullcI|:1001-5779(2010)01-0149-02nullnullAi/hr9E,aVL5Y5i,i7EP=TiY,=5#3L,V5P,=HW,Ca5Yi4am1,=5?3a5aB,q9,HW9F,Y33iqbCSP=5ii?i4M,C/b1n