目的探讨连续性肾脏替代治疗对小儿重症感染治疗的效果,以及严谨的护理方法。方法对2013年1月至2016年12月PICU收治32例小儿重症感染患儿经过连续性肾脏替代治疗,各项生化及血气指标均较治疗前好转。结果 /结论连续性肾脏替代治疗对小儿重症感染治疗的效果显著,提出连续监测生命体征、严格配制置换液、保持血管通路通畅等护理技术,是CRRT顺利进行的保证。 Objective To investigate the effect of continuous renal replacement therapy on pediatric severe infections and its rigorous nursing methods. Methods From January 2013 to December 2016, 32 children with severe infections in PICU were treated with continuous renal replacement therapy. The biochemical and blood gas indexes of PICU patients were better than those before treatment. Results / Conclusion Continuous renal replacement therapy has a significant effect on the treatment of severe infections in children. It is proposed that continuous monitoring of vital signs, strict preparation of replacement fluid and maintenance of vascular access and other nursing techniques are the guarantees of successful CRRT.