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目的观察连续性血液滤过在产后急性肾衰竭的应用。方法观察20例产后急性肾衰的患者连续性血液滤过治疗,用前稀释连续V-V血液滤过。观察治疗前后BUN、Scr、电解质、血常规、CRP。结果 20例患者中13例痊愈,3例死亡,2例转为慢性肾衰,1例自动放弃继续治疗,1例转上级医院。所有患者治疗后血BUN、Scr较治疗前明显下降(P<0.05)血白细胞及CRP水平较治疗前下降,差异有统计学意义(P<0.05)。结论产后急性肾衰早期及时行连续性血液滤过治疗疗效好。
Objective To observe the application of continuous hemofiltration in postpartum acute renal failure. Methods 20 consecutive postpartum patients with acute renal failure were treated by continuous hemofiltration, with continuous dilution of pre-V-V hemofiltration. Observed before and after treatment BUN, Scr, electrolytes, blood, CRP. Results Of the 20 patients, 13 were cured, 3 died, 2 were converted to chronic renal failure, 1 patient gave up the treatment and 1 patient was transferred to the superior hospital. Blood BUN and Scr in all patients were significantly lower than those before treatment (P <0.05), and the levels of white blood cells and CRP were significantly lower than those before treatment (P <0.05). Conclusions Postpartum acute renal failure early and timely treatment of continuous hemofiltration is effective.