实用临床医药杂志2011,Vol.15Issue(1):74-75,78,3.
连续性肾脏替代治疗对顽固性心力衰竭的疗效观察
Efficacy of continuous renal replacement therapy in patients with intractable heart failure
邓新桃 1段俊斐 1朱强 1高建民 1何永辉 1赵建祥1
作者信息
- 1. 江苏省兴化市人民医院,江苏,兴化,225700
- 折叠
摘要
Abstract
Objective To investigate the efficacy of continuous renal replacement therapy (CRRT) on patients with intractable heart failure (IHF). Methods 30 cases with IHF were treated by CRRT. The clinical manifestations and the laboratory parameters including heart rate, respiratory rate, blood pressure, urine volume, hepatojugular reflux sign, edema of lower extremity,cardiac functional classification, left ventricle ejection fraction (LVEF), left ventricular end diastolic dimension (LVEDd), cardiothoracic ratio (CTR), electrolyte, blood urea nitrogen (BUN) and serum creatinine (Scr) were observed before and after CRRT treatment. Results After CRRT,the clinical symptoms and cardiac function of the majority of the patients were improved. The left ventricle ejection fractions were increased, and heart function improved from Class Ⅳ to Ⅱ ~ Ⅲ.Conclusion CRRT can keep hemodynamics stable during removing excess water and it is an effective method to treat intractable heart failure.关键词
连续性肾脏替代疗法/顽固性心力衰竭/血液过滤分类
医药卫生引用本文复制引用
邓新桃,段俊斐,朱强,高建民,何永辉,赵建祥..连续性肾脏替代治疗对顽固性心力衰竭的疗效观察[J].实用临床医药杂志,2011,15(1):74-75,78,3.