湖北医药学院学报2013,Vol.32Issue(3):228-230,3.DOI:10.7543/j.issn.1006-9674.2013.03.010
连续性肾脏替代治疗联合血液灌流治疗毒蕈所致多器官功能衰竭
Effects of Continuous Renal Replacement Therapy Combined Hemoperfusion for Multiple Organ Dysfunction Syndrome Induced by Mushroom Poisoning
摘要
Abstract
Objective To investigate the therapeutic effects of CRRT combined HP in treatment of MODS induced by mushroom poisoning.Methods Thirty patients with MODS induced by mushroom poisoning were selected and randomly divided into combined group and HP group,all patients received routine and HP treatment.After treating with HP for 2 h,the patients in combined group received CRRT treatment for 24 h.The inflamatory,cardiac enzyme(CK-MB),parameters of liver and kindey functions were determined after treating for 14 d.Results The levels of ALT,AST,LDH,CK-MB,Scr,IL-6 and CRP were significantly decreased after treatment(P < 0.05).Compared with HP group,the liver and kidney function,CK-MB were all improved in combined group,the fatality rate was significantly decreased (all P < 0.05).Conclusion CRRT combined HP can improve the prognosis of MODS induced by mushroom poisoning through regulating the levels of inflamation,such as CRP and IL-6.关键词
连续性肾脏替代治疗/血液灌流/毒蕈中毒/多器官功能不全综合征Key words
Continuous renal replacement therapy/ Hemoperfusion/ Mushroom poisoning/ Multiple organ dysfunction syndrome引用本文复制引用
尚卫明,张明玺,段延鹏,程冲,许云帆..连续性肾脏替代治疗联合血液灌流治疗毒蕈所致多器官功能衰竭[J].湖北医药学院学报,2013,32(3):228-230,3.基金项目
十堰市科学技术研究与开发项目计划(ZD2012047) (ZD2012047)