Effect observation on the hypernatremia in elderly patients with ARDS treated by continuous veno-venous hemofiltration

VernacularTitle:连续性静脉-静脉血液滤过治疗高龄ARDS伴高钠血症的疗效观察
Author: Xin LIN ; Jing YUAN ; Shan HE ; Lei CHENG
Publication Type:Journal Article
Keywords: continuous veno-venous hemofiltration; hypernatremia; respiratory distress syndrome,adult; aged
From: Chongqing Medicine 2013;(28):3355-3356,3359
CountryChina
Language:Chinese
Abstract: Objective To investigate the clinical effects on the hypernatremia in elderly patients with ARDS treated by continu-ous veno-venous hemofiltration(CVVH) .Methods Eighteen cases of elderly patients with ARDS and hypernatremia were treated by CVVH ,the serum sodium concentration was observed and the displacement fluid composition was adjusted dynamically by serum sodium concentration ,the changes of kidney function ,gas index ,plasma osmotic pressure and APACHE Ⅱ score were recorded and analyzed .Results After treatment ,the plasma osmotic pressure of patients declined [(318 .5 ± 20 .2)mmol/L vs .(294 .4 ± 15 .1) mmol/L ,P<0 .01] .After treatment ,the oxygenation index rised [(157 .4 ± 34 .2) vs .(178 .4 ± 40 .4) ,P< 0 .05] ,APACHE Ⅱscore declined[(20 .8 ± 9 .4) vs .(14 .5 ± 8 .8) ,P<0 .05] ,and the comparison of after and before treatment was statistically signifi-cant .Conclusion Therapy method of elderly patients with ARDS and hypernatremia treated by CVVH can correct hypernatremia , improve oxygenation index and APACHE Ⅱ score effectively .