连续性肾脏替代疗法在重症肾综合征出血热少尿期的应用

Chinese Journal of Blood Purification ›› 2002, Vol. 1 ›› Issue (12) : 19-21.

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Chinese Journal of Blood Purification ›› 2002, Vol. 1 ›› Issue (12) : 19-21.
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Abstract

【Abstract】 Objective To evaluate and compare the different clinical outcome of patients with hemorrhagic fever with renal syndrome(HFRS) undergoing continous renal replacement therapy(CRRT) and hemadialysis(HD). Methods 31 patients with critical hemorrhagic fever with renal syndrome were divided into two groups, continuous venovenous hemafiltration(CVVH) of CRRT were performed in 11 patients as the treatment group .As the control group HD were used in other 20 patients. The age, sex and renal function between two groups were matching,their prognosis and the occurrence of complications were observed. Results There are satistically significant difference in prognosis and complications between two groups. 11 patients treated with CRRT in treatment group were all recovery. Only one case of patients in treatment group combineded with imfectious.There are 15 cases of complications include hemorrhage, hypotension,imbalance sydrome, relapse renal failure and infectious happened in control group and 3 patients died of complication. Conclusion The effects of CRRT was more obvious than HP in the clearance of uremia toxicity and the correction of the unequilibrium of water, electrolytes,acid and alkaline and may decrease the complication. As a more effective treatment method in critical HFRS ,CRRT can replace the HD.

Key words

Hemorrhagic fever with renal syndrome / Hemodialysis

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