Application of continuous veno-venous hemofiltration to the treatment of multiple organ failure in senile patients
- VernacularTitle:连续性静脉-静脉血液滤过在高龄患者多器官功能衰竭中的应用
- Author:
Yuqin QI
;
Xiaoming QIAN
;
Wenhui WAN
;
Cairong GE
;
Guangping MAO
- Publication Type:Journal Article
- Keywords:
Continuous veno-venous hemofiltration;
Multiple organ failure;
Senile patient
- From:
Journal of Medical Postgraduates
2003;0(05):-
- CountryChina
- Language:Chinese
-
Abstract:
Objective: To evaluate the effect and safety of continuous veno-venous hemofiltration(CVVH) in the treatment of multiple organ failure(MOF) in senile patients.Methods: Sixteen patients with multiple organ failure,aged over 80 years,were divided into a survival group,who lived more than 20 days,and a non-survival group,less than 20 days after CVVH,and observed for such clinical indexes as of renal function,K+and blood gas analysis,APACHEⅡ scores and complications.Results: After CVVH,eleven of the patients survived for over 20 days,with 1 case up to 3 years.CVVH effected a significant improvement in BUN,Scr,K+and blood gas as well as a marked reduction in complications.APACHE Ⅱ scores decreased significantly after CVVH in the survival group though not in the non-survival group,as compared with those before CVVH,which were significantly lower in the former than in the latter.Conclusion: CVVH is a safe,effective and well-tolerated method for the treatment of MOF in senile patients.Patients with higher APACHEⅡscores have a poor prognosis.
