連續性和反復間斷血液濾過治療重癥急性胰腺炎的臨床價值_《華西醫學》

作者：

聶曉冬 , 王昌松 , 劉牧 , 趙平

宜賓市第二人民醫院腎病內科,四川宜賓 644000;

關鍵詞：

重癥急性胰腺炎連續性靜脈-靜脈血液濾過反復間斷靜脈一靜脈血液濾過

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目的:研究早期連續性靜脈-靜脈血液濾過和反復間斷靜脈一靜脈血濾治療重癥急性胰腺炎的臨床價值。方法:45例SAP患者隨機分為CVVH組(25例)和RIVVH組(20例)。比較2組患者的生命體征、生化指標、治療前后的APACHE Ⅱ評分、死亡率、好轉率。結果:CVVH 組中3例死于MODS,死亡率為12％,RIVVH組死亡3例 (15％),其差異有統計學意義(P lt;0.05);CVVH 組好轉率為80％ (20/25),與RIVVH組的80％(16/20)一致。在治療的早期階段,對于改善生命體征,降低APACHEⅡ評分CVVH效果更顯注,但隨著治療時間的延長,這種差異逐漸變小,在后期兩組間不再存在療效差異,最終療效上沒有明顯的差異,而RIVVH組,在治療費用和人員成本上具有優勢。結論:早期RIVVH 治療SAP可以作為SAP重要的輔助治療措施。

引用本文： 聶曉冬,王昌松,劉牧,趙平. 連續性和反復間斷血液濾過治療重癥急性胰腺炎的臨床價值. 華西醫學, 2009, 24(4): 878-880. doi: 復制

1.
2.	CHAING DT,ANOZIE A,FLEMING W R, et al. Comparative study on acute pancreatitis management[J]. ANZ J Surg,2004,74(4):218-221..
3.	KINGSNORTH A. Role of cytokines and their inhibitors in acute pancreatitis[J]. Gut,1997,40(1):1-4..
4.	SCHETZ M R C. Classical and alternative indication for continuous renal replacement therapy[J]. Kindey Int,1998, 53 (66): 129-132.
5.	中華醫學會外科學會胰腺外科學組.重癥急性胰腺炎診治草案[J].中國實用外科雜志,2001,21(9):513-514.
6.	BONE R C, BALK R A, CERRA F B, et al. The ACCP/SCCM consensus conference committee. Definitions for sepsis and organ failure and guidelines for the use ofinnovative therapies in sepsis[J]. Chest,1992,101(5):1656-1662..
7.	BONE R C, BALK R A, CERRA F B, et al. The ACCP/SCCM consensus conference committee. Definitions for sepsis and organ failure and guidelines for the use ofinnovative therapies in sepsis[J]. Chest,1992,101(5):1656-1662..
8.	黎磊石,季大璽.連續性血液凈化[M].第一版,東南大學出版社,2004,11: 88-94..
9.	黎磊石,季大璽.連續性血液凈化[M].第一版,東南大學出版社,2004,11: 88-94..
10.	YEKEBAS E F, TREEDE H, KNOEFEl W T, et al.Influence of zero-balanced hemofiltration on the course of severe experimental pancreatitis in pigs[J]. Ann Surg,1999,22(9):514..
11.	YEKEBAS E F, TREEDE H, KNOEFEl W T, et al.Influence of zero-balanced hemofiltration on the course of severe experimental pancreatitis in pigs[J]. Ann Surg,1999,22(9):514..
12.	YEKEBAS E F, EISENBERGER C E, OHNESORGE H, et al. Attenuation of sepsis related immunoparalysis by continuous veno-venous hemofiltration in experimental porcine panereatitis[J]. Cret Care Med,2001,29(1):423..
13.	YEKEBAS E F, EISENBERGER C E, OHNESORGE H, et al. Attenuation of sepsis related immunoparalysis by continuous veno-venous hemofiltration in experimental porcine panereatitis[J]. Cret Care Med,2001,29(1):423..
14.	YEKEBAS E F, STRATE T, ZOLMAJD S, et al. Impact of different modalities of continous venovenous hemofiltration on sepsis induced alteration in experimental pancreatitis[J]. Kidney Inter,2002,62(1):806.
15.	YEKEBAS E F, STRATE T, ZOLMAJD S, et al. Impact of different modalities of continous venovenous hemofiltration on sepsis induced alteration in experimental pancreatitis[J]. Kidney Inter,2002,62(1):806.
16.	謝紅浪,李維勤.應用CVVH治療重癥急性胰腺炎[J].腎臟病與透析腎移植雜志,2000,9(6):510-515..
17.	謝紅浪,李維勤.應用CVVH治療重癥急性胰腺炎[J].腎臟病與透析腎移植雜志,2000,9(6):510-515..
18.	姚欣敏,劉牧,李云濤,等.早期反復間斷血濾治療重癥急性胰腺炎的臨床研究[J].中國普外基礎與臨床雜志,2008,15(5),352-357,361..
19.	姚欣敏,劉牧,李云濤,等.早期反復間斷血濾治療重癥急性胰腺炎的臨床研究[J].中國普外基礎與臨床雜志,2008,15(5),352-357,361..

1.
2. CHAING DT,ANOZIE A,FLEMING W R, et al. Comparative study on acute pancreatitis management[J]. ANZ J Surg,2004,74(4):218-221..
3. KINGSNORTH A. Role of cytokines and their inhibitors in acute pancreatitis[J]. Gut,1997,40(1):1-4..
4. SCHETZ M R C. Classical and alternative indication for continuous renal replacement therapy[J]. Kindey Int,1998, 53 (66): 129-132.
5. 中華醫學會外科學會胰腺外科學組.重癥急性胰腺炎診治草案[J].中國實用外科雜志,2001,21(9):513-514.
6. BONE R C, BALK R A, CERRA F B, et al. The ACCP/SCCM consensus conference committee. Definitions for sepsis and organ failure and guidelines for the use ofinnovative therapies in sepsis[J]. Chest,1992,101(5):1656-1662..
7. BONE R C, BALK R A, CERRA F B, et al. The ACCP/SCCM consensus conference committee. Definitions for sepsis and organ failure and guidelines for the use ofinnovative therapies in sepsis[J]. Chest,1992,101(5):1656-1662..
8. 黎磊石,季大璽.連續性血液凈化[M].第一版,東南大學出版社,2004,11: 88-94..
9. 黎磊石,季大璽.連續性血液凈化[M].第一版,東南大學出版社,2004,11: 88-94..
10. YEKEBAS E F, TREEDE H, KNOEFEl W T, et al.Influence of zero-balanced hemofiltration on the course of severe experimental pancreatitis in pigs[J]. Ann Surg,1999,22(9):514..
11. YEKEBAS E F, TREEDE H, KNOEFEl W T, et al.Influence of zero-balanced hemofiltration on the course of severe experimental pancreatitis in pigs[J]. Ann Surg,1999,22(9):514..
12. YEKEBAS E F, EISENBERGER C E, OHNESORGE H, et al. Attenuation of sepsis related immunoparalysis by continuous veno-venous hemofiltration in experimental porcine panereatitis[J]. Cret Care Med,2001,29(1):423..
13. YEKEBAS E F, EISENBERGER C E, OHNESORGE H, et al. Attenuation of sepsis related immunoparalysis by continuous veno-venous hemofiltration in experimental porcine panereatitis[J]. Cret Care Med,2001,29(1):423..
14. YEKEBAS E F, STRATE T, ZOLMAJD S, et al. Impact of different modalities of continous venovenous hemofiltration on sepsis induced alteration in experimental pancreatitis[J]. Kidney Inter,2002,62(1):806.
15. YEKEBAS E F, STRATE T, ZOLMAJD S, et al. Impact of different modalities of continous venovenous hemofiltration on sepsis induced alteration in experimental pancreatitis[J]. Kidney Inter,2002,62(1):806.
16. 謝紅浪,李維勤.應用CVVH治療重癥急性胰腺炎[J].腎臟病與透析腎移植雜志,2000,9(6):510-515..
17. 謝紅浪,李維勤.應用CVVH治療重癥急性胰腺炎[J].腎臟病與透析腎移植雜志,2000,9(6):510-515..
18. 姚欣敏,劉牧,李云濤,等.早期反復間斷血濾治療重癥急性胰腺炎的臨床研究[J].中國普外基礎與臨床雜志,2008,15(5),352-357,361..
19. 姚欣敏,劉牧,李云濤,等.早期反復間斷血濾治療重癥急性胰腺炎的臨床研究[J].中國普外基礎與臨床雜志,2008,15(5),352-357,361..

《華西醫學》

連續性和反復間斷血液濾過治療重癥急性胰腺炎的臨床價值

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《華西醫學》

連續性和反復間斷血液濾過治療重癥急性胰腺炎的臨床價值

摘要 全文 圖表 視頻 參考文獻 施引文獻 補充材料

Format

Content

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