| 马君王勇姜兴禄李民张爱华.热射病合并多器官功能障碍综合征持续静- 静脉血液滤过治疗的护理[J].,2011,11(20):3935-3937 |
| 热射病合并多器官功能障碍综合征持续静- 静脉血液滤过治疗的护理 |
| Nursing Care of Continuous Veno-venous Hemofiltration on Heat strokeComplicated with Multiple Organ Dysfunction Syndrome |
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| DOI： |
| 中文关键词: 热射病 多器官功能障碍综合征 持续静- 静脉血液滤过 护理 |
| 英文关键词: Heat stroke Multiple organ dysfunction syndrome Continuous veno-venous hemofiltration Nursing care |
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| 中文摘要: |
| 目的：探讨热射病合并多器官功能障碍综合征（MODS）持续静- 静脉血液滤过(CVVH)的治疗作用并总结护理要点。方法：
回顾分析2008 年5 月至2010 年9 月，我院收治的6 例热射病合并MODS，及时运用CVVH 并采取综合治疗措施，对治疗和护理
进行总结。结果：6 例患者5 例痊愈，1 例死亡。通过早期积极采用CVVH 联合综合治疗措施，可快速降低患者体温，防止因高热
引起的恶性循环。结论：CVVH 是热射病合MODS 有效治疗方法，其可早期纠正电解质及酸碱紊乱，且对代谢产物和炎症因子的
清除也有重要作用。期间严密的观察与护理，以及配合治疗的连续性，是成功救治这类患者的关键。 |
| 英文摘要: |
| Objective: To analyze the effect of continuous veno-venous hemofiltration(CVVH) in treating heat stroke(HS) patients
complicated with multiple organ dysfunction syndrome(MODS) and summarize main points of nursing care. Methods: From May 2008 to
September 2010, 6 patients of HS with MODS were treated with CVVH and other comprehensive measures. We summarized the
treatment and care. Results: Among 6 patients, 5 patients were cured while 1 patient died. Treated with CVVH and other comprehensive
measures, the temperature decreased, and the infernal circle caused by hyperpyrexia was prevented. Conclusion: CVVH is an effective
treatment of HS patients complicated with MODS. It can rapidly decrease the temperature and improve electrolyte or acid-base equilibrium
disturbance. Besides, CVVH may be effective to remove inflammatory and metabolites. Careful nursing care measures should be
employed to amend this clinical condition. |
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