摘要
目的探讨脓毒血症引急性发肾损伤(AKI)的临床诊治办法。方法收集2010年1月至2011年12月间脓毒血症引发AKI的患者37例,检测血肌酐、尿量水平,其中18例患者行连续性血液透析治疗,19例患者先行血液灌流,再行透析。结果行连续性血液滤过治疗的患者存活率为33.3%,行血液灌流治疗的患者存活率为36.8%。结论脓毒血症引发AKI的患者出现尿量减少(小于0.5mL·kg-1·h-1)的时间早于血肌酐升高(超过原来2倍),故早期尿量减少需引起重视,血液透析滤过治疗脓毒血症引发的急性肾损伤,有一定疗效。
Objective To explore the clinical diagnosis and treatment of acute kidney injury （AKI） caused by sepsis. Methods 37 patients with AKI caused by sepsis from January 2010 to December 2011 were selected to detect the serum creatinine levels and urine volume. 18 patients received the treatment of continuous hemodialysis, while 19 patients received the hemoperfusion before the hemodialysis. Results The survival rate was 33.3% in patients with continuous hemodialysis, while 36.8% in patients with hemoperfusion. Conclusions Sepsis induced AKI patients with decreased urine volume （less than 0.5 mL·kg-1·h-1） predates the increased serum creatinine （2 times more than the original） , so the early decreased urine volume needs to be taken seriously. Hemodiafiltration has certain efficacy in the treatment of sepsis induced acute kidney injury.
出处
《临床医学工程》
2012年第6期953-954,共2页
Clinical Medicine & Engineering
关键词
急性肾损伤
脓毒血症
诊断指标
治疗方法
Acute kidney injury
Sepsis
Diagnostic index
Treatment methods
作者简介
老成暖（1977-），女，广东南海人，本科，主治医师。
