• 四川大學(xué)華西醫(yī)院腎臟內(nèi)科,四川成都 610041;

目的:觀察連續(xù)性血液凈化(CBP)治療蜂蜇傷致急性腎功能衰竭(ARF)的療效分析及護(hù)理體會(huì)。方法:回顧2005～2007 年蜂蜇傷致急性腎功能衰竭17例,采用連續(xù)性靜靜脈血液濾過(CVVH)方式進(jìn)行治療,從存活率、治愈率及腎功能恢復(fù)時(shí)間等多個(gè)方面比較CVVH治療蜂蜇傷致腎功能衰竭是否具有優(yōu)越性,從護(hù)理角度總結(jié)CVVH過程中護(hù)理的經(jīng)驗(yàn)和作用。結(jié)果:患者治療前APACHE評分差異無統(tǒng)計(jì)學(xué)意義。（1）CVVH:17 例患者早期行持續(xù)性靜靜脈血液濾過,CVVH治療1～4次,總治療時(shí)間(38.6±14.8)h,情況穩(wěn)定后給予間歇性血液透析(間歇性血液透析)治療。16例患者好轉(zhuǎn)出院,1例患者死亡。⑵在CVVH治療過程中嚴(yán)密監(jiān)測生命體征、液體管理、預(yù)防出血、預(yù)防感染、血管通路的護(hù)理是CVVH治療護(hù)理重點(diǎn)。結(jié)論:早期CVVH可能有利于患者受損器官功能的恢復(fù),縮短患者的住院時(shí)間。在CVVH治療過程良好的護(hù)理和密切的觀察是保證CVVH順利進(jìn)行的重要保障。

引用本文： 陳懿,秦敏,洪蕓. 連續(xù)性血液凈化治療蜂蜇傷致急性腎功能衰竭的臨床觀察與護(hù)理體會(huì). 華西醫(yī)學(xué), 2009, 24(6): 1526-1564. doi: 復(fù)制

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