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目的:探讨早期连续性肾脏替代治疗救治危重型蝰蛇咬伤的应用效果及护理要点。方法:选择本院急诊科应用连续性肾脏替代治疗(CRRT)救治危重型蝰蛇咬伤患者13例进行回顾性分析。结果:血尿素氮、血肌酐、血红蛋白、血小板、凝血酶原时间、急性生理学及慢性健康状况Ⅱ(APACHEⅡ)在CRRT治疗前后比较差异有统计学意义(P<0.05)。结论:早期CRRT应用于救治危重型蝰蛇伤患者疗效确切,能有效地维持患者机体内环境稳定,治疗期间给予个性化的护理是保证治疗成功的关键。
Objective: To explore the application of early continuous renal replacement therapy in the treatment of critically ill snake bites and its nursing points. Methods: A retrospective analysis of 13 patients who were treated with emergency renal replacement therapy (CRRT) in the emergency department of our hospital was conducted. Results: The blood urea nitrogen, serum creatinine, hemoglobin, platelet, prothrombin time, acute physiology and chronic health status Ⅱ (APACHE Ⅱ) were significantly different before and after CRRT treatment (P <0.05). Conclusion: The early CRRT used in the treatment of critically ill patients with viper snake injury is effective and can effectively maintain the stability of the patient’s body environment. Personalized nursing during treatment is the key to successful treatment.