ISSN 1006-298X      CN 32-1425/R

导航

肾脏病与透析肾移植杂志 ›› 2016, Vol. 25 ›› Issue (1): 30-34.DOI: 10.3969/cndt.j.issn.1006-298X.2016.01.006

• 论文 • 上一篇    下一篇

连续性血液净化治疗在重度烧伤患者救治中的应用

  

  • 出版日期:2016-02-26 发布日期:2016-02-04

Continuous blood purification therapy in severe burn patients

  • Online:2016-02-26 Published:2016-02-04

摘要:

目的:观察连续性血液净化(CBP)在重症烧伤患者救治中的作用。
方法:7例大面积重度烧伤患者,合并全身炎症反应综合征(SIRS)/脓毒症,和(或)多脏器功能不全综合征(MODS),在接诊24h内实施CBP治疗。记录患者生命体征、血常规、血生化、肝功能、肾损伤指标,炎症指标、28d及6个月死亡率。
结果:7例患者平均烧伤总面积达911%,28d死亡率286%(2/7),6 个月死亡率429%(3/7)。患者血压、体温、炎症指标、血糖、血钠、尿量等与预后密切相关的指标相对稳定。
结论:重度烧伤患者及早实施CBP治疗能减轻SIRS/脓毒症、改善内环境、保护重要脏器功能和改善预后。

Abstract:

Objective:To observe continuous blood purification (CBP) treatment effect in a group of severe burn patients .
Methodology:Altogether seven severe burn patients with SIRS/sepsis, and/or MODS were implement CBP treatment within 24 hours after admission. The vital signs, biomarkers of inflammation, blood biochemistry, tubular injury index, 28 days mortality and hospital mortality were recorded and analyzed.
Results:The average total burn area of 7 patients was 911%. The 28 day mortality was 286%(2/7), and the 6 months mortality was 429%(3/7). The patients had stability index of inflammation, body temperature, blood pressure, blood glucose, serum sodium and urine volume, which were closely related with the prognosis.
Conclusion:Early implement of CBP treatment in severe burn patients can improve prognosis through reducing sepsis symptoms, improving inner environment, and protecting multiple organs function.