论文部分内容阅读
目的:观察血液灌流(HP)联合血液透析(HD)治疗肝硬化患者的肝性脑病的效果。方法:血液灌流(HP)联合血液透析(HD)治疗肝硬化患者的肝性脑病的患者11例,治疗前后查肝、肾功能,电解质,血氨,凝血酶原时间,胆碱酯酶等指标。结果:血胆红素、凝血酶原时间及血氨较前明显下降,血BUN及C r较前下降,血胆碱酯酶及HCO3-较前明显升高,临床好转7例(64%),有效3例,无效1例。结论:血液灌流联合血液透析治疗肝硬化肝性脑病效果显著,治疗应尽早实施。
Objective: To observe the effect of hemoperfusion (HP) and hemodialysis (HD) on hepatic encephalopathy in patients with liver cirrhosis. Methods: Eleven patients with hepatic encephalopathy were treated with hemoperfusion (HP) combined with hemodialysis (HD). Liver and renal function, electrolytes, serum ammonia, prothrombin time and cholinesterase were detected before and after treatment . Results: Serum bilirubin, prothrombin time and blood ammonia decreased significantly compared with those before. Blood BUN and C r decreased compared with those before. Blood cholinesterase and HCO3 - 3 cases were effective and 1 case was ineffective. Conclusion: The combination of hemoperfusion and hemodialysis has significant effect on hepatic cirrhosis with hepatic encephalopathy. Treatment should be implemented as soon as possible.