临床误诊误治Issue(5)：75-78,4.DOI:10.3969/j.issn.1002-3429.2014.05.031
尿毒症合并脑出血无肝素序贯血液透析治疗效果观察
Effectiveness Observation of Sequential Hemodialysis without Heparinum in Treatment of Uremia Complicated by In-tracerebral Hemorrhage
史长生 1安书强 2杨倩 2贾晓娟3
作者信息
- 1. 050081 石家庄，武警河北总队医院医务处
- 2. 050081 石家庄，武警河北总队医院血液净化中心
- 3. 051530 河北 赵县，赵县痔瘘专科医院肛肠外科
- 折叠
摘要
Abstract
Objective To observe the clinical effect of sequential hemodialysis without heparinum in treatment of ure-mic complicated by intracerebral hemorrhage. Methods A total of 40 patients with uremic complicated by intracerebral hemor-rhage were randomly divided into 2 groups. Group A(n=20)underwent sequential hemodialysis without heparinum,and group B(n=20)received traditional hemodialysis without heparinum. In the two groups,curative effects of intracerebral hemorrhage were observed,and values of interleukin-6(IL-6),tumor necrosis factor-α(TNF-α)and high sensitivity C-reactive protein ( hs-CRP)were detected within 24 h of invasion and 3 d,7 d and 14 d after invasion. Cephalophyma and dropsy volumes and ultrasonography scores of pericardial effusion were also detected within 24 h of invasion and 7 d and 14 d after invasion. Results Values of IL-6,TNF-α and hs-CRP 3 d,7 d and 14 d after invasion,cephalophyma and dropsy volumes and ultrasonography scores of pericardial effusion 7 d and 14 d after invasion in group A were significantly lower than those in group B(P﹤0. 05);the therapic effective rate of intracerebral hemorrhage in group A was also significantly higher than that in group B(P﹤0. 05). Conclusion The clinical effect of sequential hemodialysis without heparinum in treatment of uremic complicated by intracere-bral hemorrhage is better with less complications than those by traditional hemodialysis without heparinum.关键词
尿毒症/脑出血/透析Key words
Uremia/Cerebral hemorrhage/Dialysis分类
医药卫生引用本文复制引用
史长生,安书强,杨倩,贾晓娟..尿毒症合并脑出血无肝素序贯血液透析治疗效果观察[J].临床误诊误治,2014,(5):75-78,4.
