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目的 :探讨简易连续性肾脏替代疗法 (CRRT)装置在重危患者救治中的应用。方法 :1991年 11月～1998年 12月 ,用简易 CRRT装置救治了 95例重危患者 ,观察其对毒素的清除效果、患者预后和相关不良反应。结果 :95例患者中 38例 (4 0 .0 % )在急性期死亡 ;5 7例 (6 0 .0 % )渡过疾病的急性期 ,停止 CRRT时血尿素氮(17.3± 3.1) mm ol/ L ,血肌酐 (313.7± 33.1)μmol/ L ,其中 9例 (9.5 % )需依赖维持性血液透析治疗 ,其他 48例(5 0 .5 % )肾功能恢复 ,未发生与简易 CRRT装置相关的并发症。结论 :简易 CRRT装置用于重危患者救治安全而且有效。
Objective: To investigate the application of simple continuous renal replacement therapy (CRRT) device in the treatment of critically ill patients. METHODS: From November 1991 to December 1998, 95 critically ill patients were treated with a simple CRRT device to observe their effects on toxin removal, patient prognosis and related adverse reactions. RESULTS: Thirty-eight (40.0%) of the 95 patients died during the acute phase. Fifty-seven (60.0%) survived the acute phase of the disease, and blood urea nitrogen (n = 17.3 ± 3.1) / L, serum creatinine (313.7 ± 33.1) μmol / L, of which 9 (9.5%) were dependent on maintenance hemodialysis. The other 48 patients (50.5%) had renal function recovery without associated with simple CRRT device Complications. Conclusions: A simple CRRT device is safe and effective for the treatment of critically ill patients.