Application of continuance renal replacement therapy in ICU

doi:10.3969/j.issn.1002-1949.2001.04.008

Abstract：Objective To evaluate of the continuous renal replacementtherapy(CRRT) results and the relation of survival rate of critical patient in ICU.Methods To treat 94 examples,acute,chronic kidney failure and MOF’s patient,use the CAVH 28 examples and CVVH 66 examples among them.Results ①Age patient divided into four groups,＜30 years,30～50 years,50～70 years,＞70 years age class,with increasing at the age survival rate drops gradually,there are significant difference P＜0.001.②one organ failure have got 27 examples,survival rate 67%;two organs failure,have got 33 examples,survival rate 10%;three organs failure have got 34 examples, survival rate 9%;there are significant difference,P＜0.001.③Carry on statistical analysis to 28 examples of CAVH group and 66 examples of CVVH survival rate,two groups do not have remarkable quality.④The patient through average in hemofiltration for 7 days,around treating blood BUN and blood Cr have obvious decline,there are remarkable qualities,P＜0.01.The removing rate which store the alive group and group of the death solute does not have remarkable quality,P＞0.05.Conclusion CRRT rescue the effective means of the critical patient,not receive restriction of age,the patient is able to bear at the quality better,can remove the little member material effectively,the survival rate of patient has something to do with age and patient’s organ failure,the older the age,the more failures of internal organs,the higher its death rate.