床边间歇性血液透析治疗危重症患者的疗效分析

目的 探讨我院自行研发的床边透析技术为不能移动的合并肾衰竭的危重症患者进行有效肾脏替代治疗的效果.方法 回顾性分析我院重症监护病房(ICU)行床边间歇性血液透析(IHD)患者121例,分别统计治疗前、后急性生理学和慢性健康状况评分Ⅱ(APACHEⅡ)、Boston心力衰竭积分、心率、平均动脉压(MAP)、血肌酐(SCr...

Clinical efficacy of bedside intermittent hemodialysis in critically ill patients

Objective To investigate the effect of bedside renal replacement therapy which was developed by our hospital for unmovable critically ill patients with renal failure. Methods One hundred and twenty- one patients treated by bedside intermittent hemodialysis （IHD） in intensive care unit between May 2005 and May 2010 were studied. Acute physiology and chronic health evaluation （A- PACHE Ⅱ） score, score of Boston criteria for diagnosing heart failure, heart rate, mean arterial pressure, serum creatinine （Scr）, carbon dioxide combining power（CO2 CP） and pH were recorded. Statistical analysis was made between death group and survival group. Results APACHE Ⅱ score, score of Boston criteria,heart rate, SCr, CO2 CP and pH were improved after treatment of bedside IHD（P〈 0. 05）. Sixty patients survived,61 patients died,and 78 patients had acute renal failure. There was significant difference in age, mechanical ventilation and brain damage（P〈0. 05） between two groups. Conclusion Bedside IHD in our hospital is beneficial to critically ill patients. Once hemodynamic stability is attained, IHD should be the preferred modality. If the equipment for dialysis is appropriate and therapeutic plan is rational, IHD will be a good choice for critically ill patients with acute renal failure or chronic renal failure.