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目的研究连续性静-静脉床旁血液滤过(CVVH)治疗各种药物(毒物)中毒所致急性肾功能衰竭的临床疗效。方法采用重庆山外山公司的生产SWS-3000型血液净化仪,以CVVH血液净化方法治疗因各种中毒引起的急性肾功能衰竭,对尿量、BUN CR、UA、CO2CP进行动态观察。结果 56例患者经治疗2～3周,百草枯中毒27例治愈13例,治愈率48.14%,有机磷中毒8例治愈7例,治愈率87.50%,重金属、灭鼠药等其他类中毒21例治愈21例,治愈率100%。总治愈率为73.21%。结论 CVVH治疗中毒性急性肾衰治愈率高,值得临床推广使用。
Objective To study the clinical efficacy of continuous intravenous hemofiltration (CVVH) in the treatment of acute renal failure caused by various drugs (poisons) poisoning. Methods The volume of urine, BUN CR, UA and CO2CP were observed dynamically by SWS - 3000 blood purification instrument manufactured by Chongqing Shanwei Mountain Company. The acute renal failure caused by various poisoning was treated by CVVH blood purification method. Results 56 cases of patients were treated for 2 to 3 weeks, 27 cases of paraquat poisoning were cured in 13 cases, the cure rate was 48.14%, organic phosphorous poisoning in 8 cases was cured in 7 cases, the cure rate was 87.50%, heavy metals, rodenticide and other poisoning in 21 cases 21 cases were cured, the cure rate was 100%. The total cure rate was 73.21%. Conclusion The treatment of CVVH toxic acute renal failure rate is high, it is worth promoting clinical use.