挤压综合征行CVVH联合内毒素吸附血液净化治疗1例报告
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摘要
报告四川大学华西医院肾内科在国内首次采用连续性静脉-静脉血液过滤联合内毒素吸附血液净化成功治疗1例地震灾后挤压综合征患者,并就血液净化的具体实施方案及依据进行了讨论。
In this article, the first time use of continuous veno-venous hemofiltration(CVVH) combined with toxic absorption for the treatment of a crush syndrome patient injured in earthquake is described. Correct therapeutic regimen, close observation and prescription condition are crucial for the success of management. The evidence for the application of this method is also discussed in detail.
引文
1Mehmet SS,Ekrem E,Raymond V,et al.Renal replacement therapies in the aftermath of the catastrophic Marmara earthquake.Kidney Int,2002,62(3):2264-2271.
    2刘芳,付平,陶冶,等.地震灾害后的挤压综合征及急性肾功能衰竭救治.中国实用内科杂志,2008,28(7):596-598.
    3Dinna N Cru,Mark A Perazella,Massimo de Cal,et al.Effectiveness of polymyxin B-immobilized fiber column in sepsis:a systematic review.Critical Care,2007,11:R47.
    4郎中兵,文亮.严重创伤后血清内毒素、TNF2α、IL21β、IL26、IL28的变化.重庆医学,2003,32(12):1679-1681.

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