【摘要】：目的觀察血液濾過聯(lián)合早期容量復(fù)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(jī)分為觀察組48例和對(duì)照組41例。兩組均先給予早期容量復(fù)蘇,觀察組在此基礎(chǔ)上給予持續(xù)床旁血液濾過,對(duì)比兩組患者治療前后的動(dòng)脈血乳酸清除率及APACHEⅡ評(píng)分、住院時(shí)間、住院費(fèi)用。結(jié)果兩組治療后動(dòng)脈血乳酸清除率均逐漸升高,觀察組治療后6、12、24 h動(dòng)脈血乳酸清除率均明顯高于對(duì)照組(P均0.05),治療后3、7 d的APACHEⅡ評(píng)分均顯著低于對(duì)照組(P均0.05),住院時(shí)間、住院費(fèi)用明顯少于對(duì)照組(P均0.05)。結(jié)論血液濾過聯(lián)合早期容量復(fù)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，

本文編號(hào)：2451411