文档介绍：作者:涂永久,梁萌,陈战,刘冬,黄军利,李锐  【摘要】  目的探讨床旁连续性血滤治疗普通外科危重症的疗效。方法 2001年5月~2007年12月在我院住院治疗的普通外科危重症患者24例,通过床旁连续性血滤治疗,观察血滤前后肿瘤坏死因子(tnf)、白细胞介素?6(il?6)含量的变化。结果全组成活21例,血滤前血清tnf和il?6水平明显高于正常对照组和血滤后血tnf和il?6含量(p<)。结论床旁连续性血滤治疗普通外科危重症,能改善危重患者的内环境,减轻全身炎症反应及多脏器功能衰竭,继而提高救治成功率。【关键词】  创伤;血滤;治疗;肿瘤坏死因子;白细胞素?6   
abstract:  objective  to investigate the effect of bedside continous blood hemofiltration in critical surgical   twenty?four cases of critical general surgical patients were treated with bedside continuous blood hemofiltration between may 2001 and december contents of tnf and il?6 before and after blood hemofiltration pared .results  among the 24 cases,21 patients contents of tnf and il?6 before blood hemofiltration were significantly higher than that in the control group and after blood hemofiltration(p<).conclusion  in critical surgical patients,bedside continuous blood hemofiltration can improve its internal environment,reduce its systemic inflammatory response syndrome and an dysfunction syndrome,then raise the achievement ratio of remedy.
   
key words:trauma;blood hemofiltration;treatment;tnf;il?6
   
普通外科创伤、大出血、大手术后及一些危重患者往往会发生全身炎症反应综合征、多器官功能不全等严重并发症,给临床救治带来一定的困难。随着连续性血液净化技术(continuous renal replacement therapy,crrt) 的不断提高与完善,crrt已成为危重患者治疗的一种重要手段,其临床应用范围从最初的急性肾功能衰竭,扩展到各种临床上常见的危重病。现将我科2001年5月~2007年12月住院的24例床旁连续血滤患者资料作一回顾性分析,以探讨crrt在普