Article Summary
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].现代生物医学进展英文版,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
  
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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Author NameAffiliation
MA Jun, WANG Yong, JIANG xing-lu ,LI min, ZHANG ai-hua 解放军第422 医院 
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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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