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目的探讨持续静脉静脉血液滤过(CVVH)在横纹肌溶解合并急性肾损伤患者治疗中的应用及护理。方法 1例急性肾损伤患者确诊为横纹肌溶解症后给予两天一次CVVH治疗。检测患者血液净化治疗前后肌酸激酶(CPK)、肌酸激酶同工酶(CPK-MB)、乳酸脱氢酶(LDH)、血尿素氮(BUN)、血肌酐(Cr)的变化情况,并观察体重、尿量等临床改善情况。结果经过CVVH治疗后患者CPK、CPK—MB、LDH、BUN、Cr均有明显好转,观察体重、尿量明显改善。结论 CVVH治疗方式及护理对治疗横纹肌溶解症合并急性肾功能不全有着良好的效果。
Objective To investigate the application and nursing of continuous venous venous hemofiltration (CVVH) in the treatment of patients with rhabdomyolysis and acute kidney injury. Methods One patient with acute kidney injury was diagnosed with rhabdomyolysis and treated with CVVH once every two days. The changes of creatine kinase (CPK), creatine kinase (CK), lactate dehydrogenase (LDH), blood urea nitrogen (BUN) and serum creatinine (Cr) Observation of body weight, urine output and other clinical improvements. Results After treatment with CVVH, CPK, CPK-MB, LDH, BUN and Cr were all significantly improved, and body weight and urine output were significantly improved. Conclusions CVVH treatment and nursing have a good effect on the treatment of rhabdomyolysis with acute renal insufficiency.