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目的:探讨腹膜透析治疗急性肾功能衰竭并多器官功能障碍综合征(MODS)患者的疗效。方法:对46例急性肾功能衰竭并MODS女性患者在病因治疗的基础上,采用间断性不卧床腹膜透析。结果:治疗后血肌酐、血尿素氮明显降低,血碳酸氢根离子、血钾离子及血钠离子全部得到纠正。2个器官功能障碍36例,存活32例,存活率为88.89%;3个器官功能障碍9例,存活率为66.67%;3个器官以上器官功能障碍2例,均未存活。总存活率为82.61%。结论:腹膜透析能有效地清除急性肾功能衰竭并MODS患者体内毒素,纠正酸碱平衡失调及电解质平衡紊乱,提高存活率,是抢救急性肾功能衰竭并MODS的有效方法。
Objective: To investigate the effect of peritoneal dialysis on patients with acute renal failure and multiple organ dysfunction syndrome (MODS). Methods: 46 cases of acute renal failure and MODS female patients on the basis of the cause of treatment, the use of intermittent ambulatory peritoneal dialysis. Results: Serum creatinine and blood urea nitrogen decreased significantly after treatment, and all of bicarbonate, potassium and serum sodium were corrected. There were 36 cases with 2 organ dysfunction, 32 cases survived, the survival rate was 88.89%, 9 cases with 3 organ dysfunction, the survival rate was 66.67%, and 3 cases with organ dysfunction in 2 cases did not survive. The overall survival rate was 82.61%. CONCLUSION: Peritoneal dialysis can effectively remove toxins from acute renal failure and MODS patients, correct the imbalance of acid-base balance and electrolyte imbalance and improve the survival rate. It is an effective method to rescue acute renal failure and MODS.