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目的探讨血液灌流抢救多脏器功能失常综合症的应用。方法应用血液灌流抢救30例多脏器功能失常综合症与传统内科抢救的30例多脏器功能失常综合症病例,对两组抢救成功率及抢救成功病例治疗前后的血 BUN、CRE、ALT、AST、TBiL、DBiL、LPH、CPK、CK-MB 进行观察比较。结果血液灌流组抢救成功病例与传统内科抢救成功病例治疗前后各项指标显著下降,具有显著性差异 P<0.01,但两组抢救成功病例治疗后各项指标之间无显著性差异。血液灌流组抢救成功率73.3%,传统内科组抢救成功率20%。两组抢救成功率 P<0.05。差异具有显著性意义,且血液灌流组缩短住院时间8～12d。结论血液灌流抢救多脏器功能失常综合症具有良好疗效。
Objective To investigate the application of hemoperfusion for the treatment of multiple organ dysfunction syndrome. Methods Thirty cases of multiple organ dysfunction syndrome were treated with hemoperfusion to rescue 30 cases of multiple organ dysfunction syndrome and traditional medical rescue. The success rate of rescue and the success rate of rescue in two groups before and after treatment of blood BUN, CRE, ALT, AST, TBiL, DBiL, LPH, CPK, CK-MB were observed and compared. Results There were significant differences in the indexes before and after the success of the rescue between the hemoperfusion group and the traditional medical rescue group (P <0.01). However, there was no significant difference between the two groups after the successful treatment. The successful rate of rescue in hemoperfusion group was 73.3%, and the success rate of rescue in traditional medicine group was 20%. Rescue success rate of two groups P <0.05. The difference was significant, and hemoperfusion group shorten the hospitalization time 8 ~ 12d. Conclusion Hemoperfusion can effectively treat multiple organ dysfunction syndrome.