重庆医学2011，Vol.40Issue(22)：2220-2222,3.DOI:10.3969/j.issn.1671-8348.2011.22.014
连续性血液滤过在肝移植术后并发急性肾功能衰竭中的治疗价值
The therapeutic value of continuous veno-venous hemofiltration in acute renal failure after liver transplantation
沈清 1梁少梅 1甘华 1杜小刚 1李正荣1
作者信息
- 1. 重庆医科大学附属第一医院肾脏内科,400046
- 折叠
摘要
Abstract
Objective To evaluate the therapeutic value of continuous veno venous hemofiltration(CVVH) in the treatment of acute renal failure(ARF) after liver transplantation. Methods 22 patients with ARF after liver transplantation were treated with CVVH. Their vital signs, hemodynamic, hepatic and renal functions, sera electrolyte, blood gas analysis, thromboxane function and blood platelet count were compared before and after the treatment. The mortality was observed and the efficacy and safety of the treatment were evaluated. Results After CVVH,the vital signs and hemodynamic were irnproved(P＜0. 05) ;serum BUN, Ct, TB and DB were significantly decreased (P＜0. 05); hyperkalemia, hyponatremia and metabolic acidosis were corrected(P＜0. 05). But there were no remarkable changes in coagulogram and blood platelet count before and after the treatment(P＞0. 05). The mortality was to some extent reduced. During the treatment of CVVH, the survivability of the patients was good, without obvious side effects. Conclusion CVVH is an effective and safe treatment for patients with acute renal failure after liver transplantation.关键词
血液滤过/静脉/肝移植/肾功能衰竭,急性Key words
hemofiltration/ veins/ liver transplantation/ kidney failure/ acute引用本文复制引用
沈清,梁少梅,甘华,杜小刚,李正荣..连续性血液滤过在肝移植术后并发急性肾功能衰竭中的治疗价值[J].重庆医学,2011,40(22):2220-2222,3.
