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目的观察腹膜透析治疗脑出血合并急性肾功能衰竭的疗效。方法将40例脑出血合并急性肾功能衰竭患者随机分成两组,腹膜透析组与无肝素血液透析组,对疗效进行观察。结果两种透析方法对溶质的清除和酸碱平衡的影响差异无统计学意义,但腹膜透析组的存活率明显高于无肝素血液透析组,且腹膜透析组的日平均透析费也明显低于无肝素血液透析组。结论脑出血合并急性肾功能衰竭采用腹膜透析治疗是一种安全有效经济的方法。
Objective To observe the therapeutic effect of peritoneal dialysis on patients with acute intracerebral hemorrhage complicated with acute renal failure. Methods Forty patients with cerebral hemorrhage complicated with acute renal failure were randomly divided into two groups: peritoneal dialysis group and non-heparin hemodialysis group. The curative effect was observed. Results There was no significant difference between the two dialysis methods on the effect of solute removal and acid-base balance. However, the survival rate of peritoneal dialysis group was significantly higher than that of non-heparin group, and the mean daily dialysis cost of peritoneal dialysis group was significantly lower than that of peritoneal dialysis group Heparin-free hemodialysis group. Conclusions Peritoneal dialysis is a safe, effective and economical method for cerebral hemorrhage complicated with acute renal failure.