Prevention of myonephropathic metabolic syndrome after operation of acute arterial occlusion by continuous renal replacement therapy
- VernacularTitle:连续性肾脏替代治疗预防急性动脉闭塞术后并发肌病肾病代谢综合征
- Author:
yan, LI
;
bo, SHEN
;
wei, ZHANG
- Publication Type:Journal Article
- Keywords:
myonephropathic metabolic syndrome;
acute arterial occlusion;
continuous renal replacement therapy;
acute renal failure
- From:Journal of Shanghai Jiaotong University(Medical Science)
2006;0(04):-
- CountryChina
- Language:Chinese
-
Abstract:
Objective To study the effect of continuous renal replacement therapy(CRRT) in preventing myonephropathic metabolic syndrome(MNMS) after operation of acute arterial occlusion. Methods Twenty-four patients with acute arterial occlusion were divided randomly into 2 groups: CRRT group(n=11) and control group(n=13).The patients were treated with embolectomy or revascularization.In control group,we used conventional therapy such as anti-inflammation,expansion of blood capacity,anticoagulation,and correcting acidosis and electrolyte disorder.In CRRT group,patients were treated by continuous veno-venous hemofiltration(CVVH) with 6 h during operation and 24 h after operation. Results In control group,24 h after operation,the serum potassium,blood urea nitrogen(BUN),serum creatinine(SCr),and myoglobin(Mb) were significantly increased(P
