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fu mo tou xi zhi liao xin zang ban mo ti huan shu hou ji xing shen gong neng shuai jie ( fu 39 li bao gao )
Author(s): 
Pages: 63-65
Year: Issue:  S1
Journal: Academic Journal of Second Military Medical University

Keyword:  人工心脏瓣膜肾功能衰竭急性腹膜透析;
Abstract: 目的:分析导致心脏瓣膜替换术后急性肾功能衰竭(ARF)死亡的原因,以及影响腹膜透析效果的因素。方法:对39例心脏瓣膜替换术后ARF行腹膜透析治疗患者作回顾性调查。结果:39例患者均于术后7d内出现ARF。单纯ARF的死亡率11.8%(2/17),显著低于合并其他系统器官衰竭组的45.5%(10/22)(P<0.05)。多器官衰竭中序贯发生组死亡率14.3%(1/7),显著低于同时发生组的60%(9/15)(P<0.01)。死亡率与衰竭系统器官的数目呈正相关(r=0.98,P<0.05)。腹膜透析前血肌酐(Cr)、血Cr上升速率、尿量影响腹膜透析的效果。结论:腹膜透析是治疗心脏瓣膜替换术后ARF一种行之有效的方法,应尽早实施。
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