【摘要】：目的觀察血液濾過聯(lián)合早期容量復蘇治療重癥急性胰腺炎患者(SAP)的效果。方法選取89例SAP患者,隨機分為觀察組48例和對照組41例。兩組均先給予早期容量復蘇,觀察組在此基礎上給予持續(xù)床旁血液濾過,對比兩組患者治療前后的動脈血乳酸清除率及APACHEⅡ評分、住院時間、住院費用。結果兩組治療后動脈血乳酸清除率均逐漸升高,觀察組治療后6、12、24 h動脈血乳酸清除率均明顯高于對照組(P均0.05),治療后3、7 d的APACHEⅡ評分均顯著低于對照組(P均0.05),住院時間、住院費用明顯少于對照組(P均0.05)。結論血液濾過聯(lián)合早期容量復蘇治療SAP效果較好。
[Abstract]:Objective to observe the effect of hemofiltration combined with early volume resuscitation on (SAP) in patients with severe acute pancreatitis. Methods 89 patients with SAP were randomly divided into observation group (n = 48) and control group (n = 41). Both groups were given early volume resuscitation, and the observation group was treated with continuous bedside hemofiltration. The arterial blood lactate clearance rate and Apache 鈪，

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