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目的 探讨尿毒症引起肺部病变的治疗方法及效果。方法 40例尿毒症患者分为简单连续性肾脏替代疗法 (CR RT) 2 0例 ,血液透析 (HD) 2 0例 ,对照两组的治疗效果。结果 ①CRRT组病人血压稳定 ,HD组有 6例在治疗过程中血压下降。②CRRT组治疗后全部患者肺部症状消失 ,HD组有 4例症状无改善 ,其中 2例死亡。③两组均能纠正代谢性酸中毒及高钾血症 ,BUN .Cr在HD组下降明显 ,血气分析血氧分压CRRT组恢复明显。④胸片两组比较 ,CRRT组病变吸收较快。结论 简易CRRT在治疗尿毒症肺优于HD疗法。
Objective To investigate the treatment and effect of uremia-induced pulmonary lesions. Methods 40 cases of uremia patients were divided into simple continuous renal replacement therapy (CR RT) 20 cases, hemodialysis (HD) 20 cases, the control group two treatment effect. Results ① In CRRT group, blood pressure was stable, and in HD group, blood pressure decreased in 6 patients during treatment. ② The symptoms of lungs disappeared in all patients after CRRT treatment, and no improvement was found in 4 patients in HD group, of which 2 died. ③ Both groups can correct metabolic acidosis and hyperkalemia, BUN.Cr decreased significantly in HD group, blood gas analysis of oxygen tension CRRT group recovered significantly. ④ chest two groups, CRRT group lesions faster absorption. Conclusions Simple CRRT is superior to HD in the treatment of uremic lung.