连续性血液净化治疗尿脓毒血症导致多器官功能障碍综合征12例临床分析

胡大军; 柳永兵

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连续性血液净化治疗尿脓毒血症导致多器官功能障碍综合征12例临床分析

2024神经精神疾病的治疗技术方法临床研究 | 更新时间：2023-12-18

- 连续性血液净化治疗尿脓毒血症导致多器官功能障碍综合征12例临床分析
- Continuous blood purification in the treatment of multiple organ dysfunction syndrome induced by urinary sepsis:clinical analysis of 12 cases
- 重庆医科大学学报 2012年37卷第4期页码：373-375
- 作者机构：
  
  湖北宜昌市第二人民医院肾内科,宜昌,443000
- 作者简介：
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- 纸质出版日期：2012，
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胡大军, 柳永兵. 连续性血液净化治疗尿脓毒血症导致多器官功能障碍综合征12例临床分析[J]. 重庆医科大学学报, 2012,37(4):373-375.

HU Dajun, LIU Yongbing. Continuous blood purification in the treatment of multiple organ dysfunction syndrome induced by urinary sepsis:clinical analysis of 12 cases[J]. Journal of Chongqing Medical University, 2012,37(4):373-375.
胡大军, 柳永兵. 连续性血液净化治疗尿脓毒血症导致多器官功能障碍综合征12例临床分析[J]. 重庆医科大学学报, 2012,37(4):373-375. DOI：

HU Dajun, LIU Yongbing. Continuous blood purification in the treatment of multiple organ dysfunction syndrome induced by urinary sepsis:clinical analysis of 12 cases[J]. Journal of Chongqing Medical University, 2012,37(4):373-375. DOI：

摘要

目的：观察连续性血液净化（Continuous blood purification，CBP）在救治尿脓毒血症所致多器官功能障碍综合征（Multiple organ dysfunction syndrome，MODS）患者的临床疗效及对细胞因子的影响，探讨其治疗效果。方法：12例行持续静脉－静脉血液滤过（Continuous venous-venous hemofihration，CVVH）的尿脓毒血症所致MODS患者为研究对象，比较其治疗前、后生命体征，急性生理和慢性健康评分系统评分，白细胞，氧分压，肝、肾功能和细胞因子肿瘤坏死因子(Tumor necrosis factor-α

TNF-α)、白细胞介素1(Interleulcin-1

IL-1)、白细胞介素8(Interleulcin-8

IL-8)水平的变化。结果:CVVH治疗后的尿脓毒血症所致MODS患者其临床指标与治疗前比较明显改善，细胞因子TNF-α、IL-1、IL-8的水平与治疗前比较明显降低，差异有统计学意义(P<0．05)。结论:CVVH能改善尿脓毒血症所致MODS患者的临床指标，降低患者细胞因子水平，可在一定程度上改善尿脓毒血症所致MODS患者的预后。

Abstract

Objective:To observe the clinical efficacy of continuous blood purification(CBP) for multiple organ dysfunction syndrome(MODS) induced by urinary sepsis and to discuss its effect on cytokines.Methods:Totally 12 patients with MODS induced by urinary sepsis were treated by continuous venous-venous hemofiltration(CVVH).Vital signs

acute physiology and chronic health evaluation system scores

white blood cell

oxygen partial pressure

liver and kidney functions and levels of cytokines such as TNF-α

IL-1 and IL-8 were measured and compared before and after the treatment.Results:The clinical indicators of patients with MODS were improved significantly after CVVH treatment compared with those before the treatment.The plasma concentrations of TNF-α

IL-1

IL-8 were decreased obviously compared with those before the treatment (P<0.05).Conclusion:CVVH can improve the clinical indicators of MODS induced by urinary sepsis

decrease the cytokines level and to some extent promote the patients’ prognosis.

关键词

持续静脉-静脉血液滤过尿脓毒血症多脏器功能障碍综合征细胞因子

Keywords

continuous venous-venous hemofiltrationurinary sepsismultiple organ dysfunction syndromecytokine

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