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目的:观察连续性血液净化(CBP)在急性肾功能衰竭(acute renal failu re,ARF)患者中应用的临床疗效,探讨提高ARF临床疗效的治疗措施.方法:血透临时血管通路选用股静脉、颈静脉置双腔导管或桡动脉直接穿剌。透析液均用碳酸氢盐透析液。抗凝根据出血倾向选用小剂量肝素、体外肝素(1∶0.8鱼精蛋白中和)、小分子肝素及无肝素透析。结果:多数患者经血液透析及综合治疗,高钾血症、肺水肿、心衰、电解质和酸碱平衡紊乱等并发症能基本得到纠正,自觉症状缓解。结论:在治疗ARF患者的过程中,应积极加行CBP治疗措施,可提高临床疗效,改善患者预后。
Objective: To observe the clinical curative effect of continuous blood purification (CBP) in patients with acute renal failure (ARF) and to explore the therapeutic measures to improve the clinical efficacy of ARF.Methods: The femoral vein was used in the temporary vascular access of hemodialysis, Jugular venous double-lumen catheter or radial puncture directly. Dialysate bicarbonate dialysate were used. Anticoagulant bleeding tendency based on the choice of small doses of heparin, heparin in vitro (1:0.8 protamine neutralization), small molecular weight heparin and non-heparin dialysis. Results: Most of the patients were hemodialysis and comprehensive treatment, hyperkalemia, pulmonary edema, heart failure, electrolyte and acid-base balance disorders and other complications can be basically corrected, subjective symptoms relieved. Conclusion: In the treatment of patients with ARF, CBP should be actively treated with additional measures to improve clinical efficacy and improve prognosis.