• Division of Nephrology, the People,s Hospital of Jianyang City,Jianyang Sichuan 641400, China;
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目的:总结急性重症中毒并急性肾功能衰竭(ARF)的临床特点并探讨多种血液净化(BP)模式抢救急性重症中毒的临床疗效。方法:回顾性分析我院30例急性中毒并ARF患者,其中9例行血液透析(HD)治疗,11例行HD串联血液灌流(HD+HP)治疗,10例采用连续性静脉-静脉血液透析滤过(CVVHDF)治疗,各组均给予综合性治疗,比较单纯HD组、HD+HP组、CVVHDF组之间治疗效果。结果:CVVHDF组治愈率高,肾功能恢复优于其他血液净化组(P﹤0.05),昏迷者的清醒时间快,住院时间缩短(P﹤0.05),无明显毒副作用。结论:CVVHDF、HD+HP血液净化治疗抢救各种急性中毒并ARF患者成功率高,对急性重症中毒伴多器官功能障碍者,提倡早期行CVVHDF治疗,同时重视洗胃、营养支持、水电解质酸碱平衡、抗感染等综合治疗,以利于急危重症中毒患者的救治。

Citation: CHEN Dezheng,ZHANG Yong,LI Mingpeng,et al.. Clinical Analysis of A Variety Blood Purification Therapy Acute Severe Poisoning with Acute Renal Failure of 30 Caces. West China Medical Journal, 2009, 24(7): 1751-1755. doi: Copy