连续性静-静脉血液滤过串联血液灌流治疗重症胰腺炎及护理干预

摘要

Objective To investigate the continuous veno - venous hemofiltration ((continous veno-venous hemofiltration, CVVH) series of blood perfusion (hemoperfusion, HP) treatment of severe acute pancreatitis (SAP) with acute kidney injury (AKI) methods of care. Methods 28 patients with severe acute pancreatitis in patients with acute kidney injury in routine medical treatment, based on the early line CVVH + HP treatment care and strengthen psychological care of patients, close observation of changes in patient vital signs, observation and treatment of concurrent time disease, ensure the normal operation of the machine, enhancing vascular access care. Results 28 patients underwent CVVH + HP treatment, early fever, tachycardia, shortness of breath, other symptoms were relieved, discharged 12 people, five people were discharged improved, transferred to general wards 6, 6 deaths (21%), 71. 3% of patients fully recover renal function, 20. 2% partial recovery of renal function. Conclusion SAP combined AKI patients with CVVH + HP treatment was beneficial in patients with early recovery of renal function in the course of treatment in the intensive care nurses, is the protection of the successful completion of treatment.%目的 探讨连续性静-静脉血液滤过((continous veno-venous hemofiltration,CVVH)串联血液灌流(hemoperfusion,HP)治疗重症急性胰腺炎(SAP)合并急性肾损伤(AKI)的护理方法.方法 对28例重症急性胰腺炎合并急性肾损伤的患者,在内科常规治疗的基础上早期行CVVH+ HP治疗.护理方面加强患者的心理护理,密切观察患者生命体征的变化,及时观察和处理并发症,保证机器正常运转,加强血管通路的护理.结果 28例患者行CVVH+HP治疗后,早期发热、心动过速、呼吸急促等症状均得到明显缓解.痊愈出院12例,好转出院5例,转入普通病房6例,死亡6例(21％),71.3％的患者肾功能完全恢复,20.2％肾功能部分恢复.结论 SAP合并AKI患者行CVVH+HP治疗明显有益于患者肾功能的早期恢复.在治疗过程中护理人员的精心护理,是治疗能顺利完成的保障.