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目的:总结连续性血液滤过治疗急性重症胰腺炎并发多器官功能障碍的护理方法和效果。方法:对33例急性重症胰腺炎患者实施连续性血液滤过治疗的同时,加强生命体征的监测,注重滤过管道的护理,同时完善心理安抚和并发症预防护理。结果:治疗和护理前后患者APACHEII评分、生化指标、生命体征较前明显改善,差异显著,具有统计学意义(P<0.05)其中14例好转,17例痊愈,2例并发胰周囊肿手术后治愈,无死亡病例。结论:连续性血液滤过治疗急性重症胰腺炎并发多器官功能障碍效果明显,但疗效的发挥离不开科学有效的护理干预。
Objective: To summarize the nursing methods and effects of continuous hemofiltration in the treatment of acute severe pancreatitis complicated with multiple organ dysfunction. Methods: Thirty-three patients with severe acute pancreatitis underwent continuous hemodiafiltration. At the same time, the monitoring of vital signs was strengthened, and the care of filtration tube was emphasized. At the same time, psychological comfort and complication prevention and care were improved. Results: The APACHEII score, biochemical indexes and vital signs in patients before and after treatment were significantly improved compared with those before treatment (P <0.05), of which 14 were improved, 17 were cured, and 2 were complicated with peripancreatic cyst after operation , No deaths. CONCLUSION: Continuous hemofiltration is effective in treating acute severe pancreatitis complicated with multiple organ dysfunction. However, the curative effect can not be separated from the scientific and effective nursing intervention.