查詢結果分析
相關文獻
- Continuous Arteriovenous Hemodialysis and Continuous Venovenous Hemofiltration in Burn Patients with Acute Renal Failure
- Acute Renal Failure Caused by Low-tension Electrical Burn Injury--A Case Report
- Our Experience of Continuous Renal Replacement Therapy in Burned Patients with Acute Renal Failure
- 燒傷引起急性腎損傷
- Prognosis of Patients on Extracorporeal Membrane Oxygenation plus Continuous Arteriovenous Hemofiltration
- 照顧一位重度燒傷病人併無望感發生之加護經驗
- 燒傷病患增生性疤痕的復健護理
- 急性腎衰竭之處理:一般原則
- 急性腎衰竭的傳統透析療法
- 急性腎衰竭之連續性腎臟替代法
頁籤選單縮合
題 名 | Continuous Arteriovenous Hemodialysis and Continuous Venovenous Hemofiltration in Burn Patients with Acute Renal Failure=使用連續性動靜脈透析與連續性靜脈透析於燒傷病患合併急性腎衰竭病人的比較 |
---|---|
作 者 | 孫一峰; 李書欣; 林幸道; 賴春生; | 書刊名 | The Kaohsiung Journal of Medical Sciences |
卷 期 | 23:7 2007.07[民96.07] |
頁 次 | 頁344-351 |
分類號 | 415.816 |
關鍵詞 | 急性腎衰竭; 燒傷; 連續性動靜脈透析; 連續性靜脈透析; Acute renal failure; Burns; Continuous arteriovenous hemodialysis; Continuous venovenous hemofiltration; |
語 文 | 英文(English) |
中文摘要 | 燒傷病人合併急性腎衰竭的死亡率高達 73% 至 100%。目前有相當多針對腎衰竭的治療方式包含腹部透析、間歇性血液透析及連續性血液透析。一般而言,連續性血液透析通常使用於血壓不穩定或無法接受間歇性血液透析治療的病患。此外,腹部有燒燙傷口的病人也不適宜使用腹部透析治療。所以,大多數燒傷合併急性腎衰竭且心肺功能不穩定的病人多使用連續性血液透析。本研究中,自 1997 至 2004 年共有六位燒傷合併急性腎衰竭的病人接受續性血液透析 (三位使用連續性動靜脈透析、另三位使用連續性靜脈透析)。平均年齡是 49.8 歲 (27至80歲)、平均燒傷面積是 60.4% (11.5 至 95%)。四位病患死於多重器官衰竭、兩位患者成功順利脫離急性腎衰竭。本文討論連續性動靜脈透析與連續性靜脈透析的優缺點。結論為連續性靜脈透析在治療燒燙傷合併急性腎衰竭上優於連續性動靜脈透析。原因為連續性靜脈透析較能移除發炎因子並有較少的後遺症。 |
英文摘要 | Acute renal failure (ARF) is a very common condition that may occur in patients with major burn injuries. The majority of burn patients with ARF have a high mortality rate, ranging from 73% to 100%. There are several ways to treat ARF in burn patients, including peritoneal dialysis (PD), intermittent hemodialysis, and continuous renal replacement therapy (CRRT). CRRT is generally used in patients in whom intermittent hemodialysis has failed to control hypovolemia, as well as in patients who cannot tolerate intermittent hemodialysis. Additionally, PD is not suitable for patients with burns within the abdominal area. For these reasons, most patients with unstable hemodynamic conditions receive CRRT. In this study (conducted in our burn unit between 1997 and 2004), six burn patients received CRRT: three received continuous arteriovenous hemodialysis (CAVHD) and the other three received continuous venovenous hemofiltration (CVVH). The patients were all males, with a mean age of 49.8 years (range, 27–80 years), and a mean burnt surface area of 65.1% (range, 30–95%). Four patients died due to multiple organ failure, and two patients recovered from severe ARF. CRRT has been proven safe and useful for burn patients with ARF. According to this study, we conclude that CVVH is an appropriate tool for treating ARF, with a lower incidence of vascular complications than CAVHD. |
本系統中英文摘要資訊取自各篇刊載內容。