中国血液净化 ›› 2012, Vol. 11 ›› Issue (12): 0-0.

• 临床研究 •    下一篇

连续性血液净化在腹主动脉骑跨栓塞中的应用

范晶娴,王应灯   

  1. 1. 上海交通大学医学院九院临床医学院
    2. 上海交通大学附属第九人民医院肾内科
  • 收稿日期:2012-06-12 出版日期:2012-12-12 发布日期:2012-12-12
  • 通讯作者: 范晶娴 E-mail:shinningbaby1989@yahoo.cn

Application Of Continuous Blood Purification In Abdominal Aorta Saddle Embolism

  • Received:2012-06-12 Online:2012-12-12 Published:2012-12-12

摘要: 腹主动脉骑跨栓塞(Abdominal aorta saddle embolism ASE )是临床上的急症,死亡率及截肢率高。一旦发现,应立即手术,开通动脉,挽救患者生命。但血管在开通的同时,由于缺血再灌注(Ischemia-reperfusion injury,I/R)的存在,患者不仅得不到有效的血流灌注,反而加重原发缺血部位的损害,甚至出现远端非缺血脏器的损伤。连续性血液净化(Continuous blood purification CBP)是连续、缓慢清除水分及溶质的治疗方式的总称,已成为重症患者救治的重要手段。本文就其在腹主动脉骑跨栓塞的应用作一综述。

Abstract: Abdominal aorta saddle embolism (ASE) has high mortality,amputation rate. Emergency operate is the only way to save lives. However , because of the ischemia-reperfusion injury , suffers can not only lose the blood flow , but also aggravate the primary ischemia tissues, even develop to multiple organ dysfunction syndrome(MODS). Continuous blood purification (CBP) or continuous renal replacement therapy (CRRT) can continuous and slowly remove water and solute, becoming an efficiency and important treatment method. It has been widely used in critical illness such as acute renal failure,sepsis,severe acute pancreatitis. This article elaborate the therapeutic mechanism of continuous blood purification in ASE and introduce the specific application including therapy time and model.

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