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    Effect of hemoperfusion combined with bedside continuous blood purification on hyperlipidemic severe acute pancreatitis
    share  | 20-03-17release views ID:32192
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Effect of hemoperfusion combined with bedside continuous blood purification on hyperlipidemic severe acute pancreatitis
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  【摘要】探讨血液灌流(HP)联合床旁连续性血液净化(CBP)治疗高脂血症性重症急性胰腺炎(HL-SAP) 的临床疗效。将2013年5月-2018年5月收治入院的42例HL-SAP患者分为观察组Cn=24)和对照 组Cn=18),两组均给予常规对症支持治。观察组给予HP联合CBP治疗,对照组仅给予CBP洽疗,比较 两组疗效总有效率、症状缓解时间、禁食时间、住院时间及血清TG、白细胞计数(WBC)、C反应蛋白 CCPR)及血淀粉酶水平,并采用急性生理学及慢性健康状况评分系统(APACHE-II评分)评价患者病情 变化情况。观察组疗效总有效率为87.50%,对照组疗效总有效率为72.22%,两组比较差异无统计学意 义(R>0.05);观察组症状缓解时间、禁食时间及住院时间均显著早于对照组,治疗后观察组TG、WBC、 CPR、血淀粉酶水平及APACHE圓II评分显著低于对照组,差异均有统计学意义(P<0.05)。HP联合CBP 治疗可迅速减轻HL-SAP患者炎症反应,降低血脂及毒性物质,改善机体内环境,缓解患者病情。

  【关键词】 重症急性胰腺炎 高脂血症性 血液灌流 床旁连续性血液净化

  原文链接:http://zgxdptwk.zjdata.net/detail/lw_detail/10000286426


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