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目的:探讨血液净化方法在抢救和治疗重型肝炎、肝性脑病、重症黄疸的作用。方法:治疗组7例患者行股静脉插管进行床边持续血液滤过、血浆置换和血液灌流,监测生命体征、血清酶学、黄疸指数、血氨、肾功能等。结果:治疗组7例神志转清6例(85.71%),肝功能指标明显改善7例(100%);对照组10例,神志转清2例(28.57%),肝功能指标明显改善1例。治疗后两组的黄疸指数、血钠、血氨改变均有明显差异。对照组死亡8例,治疗组死亡仅1例。结论:血液净化治疗重症肝炎、重症黄疸、肝性脑病疗效肯定,尤其是近期疗效。能显著提高肝功能衰竭患者的存活率。建议在肝功能衰竭诊断明确后尽早采用。
Objective: To investigate the role of blood purification in the treatment and treatment of severe hepatitis, hepatic encephalopathy and severe jaundice. Methods: Seven patients in the treatment group underwent continuous bedside hemofiltration, plasma exchange and hemoperfusion in femoral vein catheterization. The vital signs, serum enzymes, jaundice index, blood ammonia and renal function were monitored. Results: In the treatment group, 6 cases (85.71%) were consciously cleared and 7 cases (100%) showed marked improvement in liver function. In the control group, 2 cases (28.57%) were evacuated and the liver function index was significantly improved in 1 case . After treatment, the two groups of jaundice index, serum sodium, blood ammonia changes were significantly different. The control group died of 8 cases, the treatment group died of only 1 case. Conclusion: Blood purification treatment of severe hepatitis, severe jaundice, hepatic encephalopathy positive effect, especially in the near future. Can significantly improve the survival rate of patients with liver failure. Proposed early diagnosis of liver failure as soon as possible after use.