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目的观察连续性静脉-静脉血液滤过治疗尿毒症脑病的疗效。方法 32例尿毒症脑病患者采用连续性静脉-静脉血液滤过治疗,治疗前后测定肾功能、电解质、β2微球蛋白(β2-MG)。结果治愈30例,死亡1例,自动出院1例,治疗前后血尿素氮、肌酐、钾、β2微球蛋白有显著改善(P<0.05)。结论对于尿毒症脑病患者,连续性静脉-静脉血液滤过是安全且有效的治疗措施。
Objective To observe the curative effect of continuous veno-venous hemofiltration on uremic encephalopathy. Methods 32 patients with uremic encephalopathy were treated with continuous veno-venous hemofiltration. The renal function, electrolytes and β2 microglobulin (β2-MG) were measured before and after treatment. Results 30 cases were cured, 1 died and 1 case was discharged automatically. Before and after treatment, blood urea nitrogen, creatinine, potassium and β2 microglobulin were significantly improved (P <0.05). Conclusions Continuous intravenous-venous hemofiltration is a safe and effective treatment for patients with uremic encephalopathy.