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目的:探讨连续性血液净化对严重烧伤患者的治疗作用。方法:14例严重大面积烧伤患者早期接受CBP治疗。结果:14例患者存活10例,4例因早期休克、MODS、心力衰竭死亡,存活率为71.4%。CBP后血清BUN、Cr、K+较CBP前呈逐渐下降趋势(P<0.05)。结论:CBP可延缓严重烧伤患者SIRS和MODS的发生发展,为早期切痂植皮赢得宝贵时间窗口,提高严重烧伤的治愈率。
Objective: To investigate the therapeutic effect of continuous blood purification on patients with severe burn. METHODS: Fourteen patients with severe extensive burn were treated with CBP early. Results: 14 patients survived in 10 cases, 4 died of early shock, MODS and heart failure, with a survival rate of 71.4%. After CBP, serum BUN, Cr, K + showed a decreasing trend compared with that before CBP (P <0.05). CONCLUSION: CBP can delay the occurrence and development of SIRS and MODS in severely burned patients and win valuable time window for early eschar excision to improve the cure rate of severe burn.