摘要
目的 回顾性分析心血管疾病伴发急性肾功能衰竭及多脏器功能衰竭的病因、治疗及预后。方法14例患者主要因急性心肌梗死、心肺复苏后、心脏手术后、冠状动脉造影后发生急性肾功能衰竭或多脏器功能衰竭,进行肾脏替代疗法。结果 14例患者5例存活,9例死亡,病死率64.3％;其中7例伴糖尿病者,6例死亡;急性心肌梗死后7例患者4例死亡,心脏手术后4例患者3例死亡;死亡主要与器官衰竭数目相关。结论心血管疾病伴发急性肾功能衰竭及多脏器功能衰竭经肾脏替代疗法及血流动力学监测,有助于体液平衡,稳定心血管系统,是安全有效的治疗方法。
Objective To study retrospectively the treatment and prognosis in the cardiovascular patients with acute renal failure (ARF) and multiple organs failure(MOF). Methods 14 patients with ARF and MOF mainly from a-cute myocardium infarction and cardiac surgery were treated by continuous or intermittent renal replacement therapy. Results The overall mortality was 65. 3%, in which the major cause of death was MOF and with diabetes. Conclusion Renal replacement therapy and hemodynamics monitor can be considered as a safe and effective artificial renal support in the patients with ARF and MOF as a complication of AMI and cardiac surgery, it can be beneficial to maintenance of the body water balance and to stability of cardiovascular system.
出处
《中国心血管杂志》
2001年第4期210-212,共3页
Chinese Journal of Cardiovascular Medicine
关键词
心血管疾病
急性肾功能衰竭
多脏器功能衰竭
肾脏替代疗法
Cardiovascular disease
Acute renal failure
Multiple organs failure
Renal replacement therapy
