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目的:评定床旁连续性血滤治疗普通外科危重症患者的可行性。方法:随机选该院普外科2013年12月至2015年10月接收的普通外科危重症患者共30例,均接受床旁连续性血滤治疗,观察所有入选患者的血清TNF值及血清IL-6水平,并与治疗前进行客观比对。结果:所有入选患者均已配合完成治疗工作,27例患者治愈,3例死亡,予以系统性评估后发现,治疗后血清TNF值及血清IL-6水平均比治疗前低,不同时间段患者指标对比后发现有差距(P<0.05)。结论:在普通外科危重症患者中,推行床旁连续性血滤治疗方案效果突出,可进一步提升患者预后水平,建议推广。
Objective: To evaluate the feasibility of bedside continuous hemofiltration in the treatment of critically ill general surgery patients. Methods: A total of 30 general critically ill patients received general surgery from December 2013 to October 2015 in our hospital. All patients underwent continuous bedside continuous hemofiltration. The levels of serum TNF and IL- 6 levels, and with the objective comparison before treatment. Results: All selected patients had completed the treatment work, 27 patients were cured and 3 died. After systematic evaluation, the serum TNF level and serum IL-6 level after treatment were lower than those before treatment and at different time points After comparison found a gap (P <0.05). Conclusion: In the general surgery critically ill patients, the implementation of bedside continuous treatment of hemofiltration program effect is outstanding, can further improve the prognosis of patients, it is recommended to promote.