摘要
Abstract
Objective:To investigate the therapeutic effects of extended daily hcmofiitration (EDHF) on severe acute pancrcati-tis(SAP). MethodS;Thc clinical data of 62 patients with SAP were retrospectively reviewed, including life vital signs,biochemical indexes and prognosis within 72 h. 30 cases with an average acute physiology and chronic health evaluation II (APACHE II) score of (16. 3 + 4. 3) underwent EDHF on the basis of traditional treatment; another 32 cases with an average APACHE II score of (15. 2 + 3. 6) were treated traditionally. Results: From the beginning to 72 h after treatment, the vital signs, the biochemical indexes (such as body temperature, heart rate) and the biochemical indexes (such as C-rcsponsc protein, crcatininc, blood albumim, abdominal pain and abdominal distension) were improved more obviously in patients who received EDHF treatment than those who only received traditional treatment. Patients treated with EDHF needed shorter hospitalization time than patients treated convcntionally[(12. 3 I 7. 1) d vs. (19. 2 ± 8. 4) d, P<0. 05]. There was no significant difference in mortality rate between EDHF treatment group and conventional treatment group (16. 7% vs. 28. L%,P>0. 05). Conclusions: EDHF treatment can improve the symptoms of SAP patients, such as body temperature and heart rate; and it can also improve some of the biochemical indexes, such as C-rcsponsc protein, abdominal pain and abdominal distension. Moreover, EDHF can shorten hospitalization time,but EDHF has no significant effects on mortality rate.关键词
延长每日血液滤过/重症急性胰腺炎Key words
Extended daily hcmofiltration/ Sever acute pancreatitis分类
医药卫生
