连续性血液滤过治疗急性心力衰竭合并乳酸酸中毒的效果

Abstract
Figure/Table
References (15)
Related Citation (15)

Download: PDF (0 KB) HTML (39 KB)
Export: BibTeX | EndNote (RIS)

Abstract ObjectiveTo investigate the effect of continuous blood filtration in the treatment of acute heart failure with lactic acidosis.Methods40 cases of patients with acute heart failure with lactic acidosis in our hospital from May 2014 to May 2016 were selected,they were randomly divided into continuous hemofiltration treatment group(experimental group)and hemodialysis treatment group(control group),20 cases in each group.The SBP,HR,RR,LVEF 24 h,urine volumes,blood lactic acid,CO2CP,pH and heart failure remission time,lactic acidosis corrected time and hospitalization time of the two groups were compared.ResultsThe SBP,HR,RR of the experimental group were significantly lower than those control group(P＜0.05),the LVEF,24 h urine volume were significantly higher than those of control group(P＜0.05),the blood lactate was significantly lower than that of control group (P＜0.05),the CO2CP,pH were significantly higher than those of control group(P＜0.05),the heart failure remission time,lactic acidosis the correct time,hospitalization time were significantly shorter than those of control group(P＜0.05).ConclusionThe effect of continuous blood filtration in the tr eatment of acute heart failure with lactic acidosis is better than conventional hemodialysis treatment.

Key words： Continuous blood filtration Acute heart failure with lactic acidosis Therapeutic effect

	Service

	E-mail this article
	Add to my bookshelf
	Add to citation manager
	E-mail Alert
	RSS
	Articles by authors
	WU Chao-yu
	LIU Xin
	HU Ying
	OUYANG Song-mao
	ZHU Hong-quan

Cite this article:

WU Chao-yu,LIU Xin,HU Ying, et al. Effect on continuous blood filtration therapy in the treatment of acute heart failure with lactic acidosis[J]. 中国当代医药, 2017, 24(2): 29-31.

URL:

http://dangdaiyiyao.com/EN/ OR http://dangdaiyiyao.com/EN/Y2017/V24/I2/29

[1]	邱海波.ICU主治医师手册[M].南京：江苏科学技术出版社，2008：366.
[2]	刘东，孙广萍，伦立德，等.不同置换量连续性血液净化治疗对多器官功能障碍综合征患者细胞因子的影响[J].临床内科杂志，2009，26（3）：191-193.
[3]	王小军，肖丽琴，吴艳红.连续性血液滤过在顽固性心力衰竭中的应用[J].中国临床保健杂志，2010，13（1）：59-61. [4]陈次滨，董学滨，黄东健，等.连续静脉-静脉血液滤过治疗顽固性充血性心力衰竭[J].中西医结合心脑血管病杂志，2009，7（6）：633-635.
[5]	郭轶男.连续性血液净化治疗顽固性心力衰竭的临床疗效观察[J].中国医药导报，2010，7（2）：31-32.
[6]	Oldenbeuving G，McDonald JR，Goodwin ML，et al.A patient with acute liver failure and extreme hypoglycaemia with lactic acidosis who was not in coma：causes and consequences of lactate-protected hypoglycaemia[J].Anaesth Intensive Care，2014，42（4）：507-511.
[7]	Filippatos G，Teerlink JR，Farmakis D，et al.Serelaxin in acute heart failure patients with preserved left ventricular ejection fraction：results from the RELAX-AHF trial[J].Eur Heart J，2014，35（16）：1041-1050.
[8]	周飞虎，宋青，潘亮，等.持续血液净化在热射病合并多器官功能障碍综合征治疗中应用[J].生物医学工程与临床，2010，14（2）：114-117．
[9]	胡宏德，殷敏信，付华，等.心肾综合征的分级治疗[J].西部医学，2010，22（1）：75-77.
[10]	李柏涛.心钠肽辅助治疗急性或慢性心力衰竭的临床研究[J].中国当代医药，2014，21（5）：49-50.
[11]	徐杰.生脉注射液对急性心力衰竭时血浆脑钠肽水平影响的分析[J].中国当代医药，2014，21（24）：153-154.
[12]	赵庆禧，蒋路平.冻干重组人脑利钠肽、米力农治疗充血性心力衰竭疗效对比[J].中国当代医药，2010，17（20）：57-58.
[13]	郭明明，邹德志，刘江辉，等.正压通气治疗老年急性心力衰竭的临床效果[J].中国当代医药，2014，21（27）：28-29.
[14]	盛红晶，丁瑞.以腹痛为首发症状的糖尿病酮症酸中毒误诊分析[J].中国当代医药，2011，18（11）：122-123.
[15]	邓晓军，杨丽华，杨炼，等.艾滋病HAART疗法毒副作用与体重的相关性研究[J].中国当代医药，2011，18（14）：31-32.