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目的探讨高容量血液滤过治疗重症创伤后多器官功能障碍综合征的临床效果。方法 44例重症创伤后多器官功能障碍综合征患者为研究对象,对其实施高容量血液滤过进行治疗。分析其临床治疗效果。结果 44例患者经临床治疗后,24例好转,20例死亡,死亡率为45.5%;本组患者经高容量血液滤过治疗后,血肌酐、氧合指数、平均动脉压较治疗前均明显改善,差异有统计学意义(P<0.05)。结论高容量血液滤过治疗重症创伤后多器官功能障碍综合征有着较好的临床效果,值得深入研究和推广。
Objective To investigate the clinical effect of high-volume hemofiltration in the treatment of post-traumatic multiple organ dysfunction syndrome. Methods Forty-four patients with multiple organ dysfunction syndrome after severe traumatic injury were enrolled in this study. High-volume hemofiltration was performed. Analyze its clinical effect. Results After the treatment of 44 patients, 24 cases improved and 20 died. The mortality rate was 45.5%. After high volume hemofiltration, the serum creatinine, oxygenation index and mean arterial pressure were significantly higher than those before treatment Improve, the difference was statistically significant (P <0.05). Conclusion High-volume hemofiltration has a good clinical effect in the treatment of post-traumatic multiple organ dysfunction syndrome, which deserves further study and promotion.