改良移动式水处理在训练伤致急性肾功能衰竭中的应急抢救分析

发布时间：2018-05-31 00:15

本文选题：肾功能衰竭 + 急性　；参考：《实用医学杂志》2009年04期

【摘要】：目的:探讨改良移动式水处理系统与中央水处理系统在训练伤致急性肾功能衰竭透析中的疗效。方法:将17例患者分为A、B两组。A组9例,采用在原有移动式水处理设备末端出水口处加装微粒子过滤器的改良移动式水处理提供透析用水。B组8例,采用中央水处理系统提供透析用水。两组患者均开始连续3次2.5、3、4h的诱导透析,此后每隔1日透析1次,透析时间均为4.5h。记录每位患者透析次数、肾功能、电解质。每透析两次取样透析用水,监测水质中细菌、内毒素及电阻率。结果:两组患者治疗后,在肾功、电解质及症状改善上差异均没有显著性(P0.05);A组的透析次数(6.4±1.2)次,B组透析次数(6.6±0.7)次,两组透析次数比较差异没有统计学意义(P0.05);改良移动式水处理的反渗水内毒素(0.220±0.060)EU/mL,细菌计数(50.62±19.69)CFU/mL,电阻率(9.892±1.609)ΜΩ/cm;中央水处理系统的反渗水内毒素(0.209±0.057)EU/mL,细菌计数(48.81±19.04)CFU/mL,电阻率(0.901±0.622)ΜΩ/cm,两种水质的指标比较差异均无统计学意义(P0.05),电阻率之间比较差异有统计学意义(P0.001)。结论:经改良的移动式水处理系统产生水质安全达标,与中央水处理系统在训练伤致急性肾功能衰竭透析中的疗效相似。
[Abstract]:Objective: to investigate the effect of modified mobile water treatment system and central water treatment system on dialysis of acute renal failure caused by training injury. Methods: seventeen patients were divided into two groups: group A (n = 9) and group A (n = 9). The central water treatment system is used to provide dialysis water. The patients in both groups were treated with continuous induction dialysis for 2.5 minutes and 34 hours. After that, the dialysis time was 4.5 hours once every 1 day. Dialysis times, renal function and electrolytes were recorded for each patient. Sample dialysis water twice per dialysis to monitor bacteria, endotoxin and resistivity in water quality. Results: after treatment, there was no significant difference in renal function, electrolytes and symptoms between the two groups. There was no significant difference in dialysis times (6.4 卤1.2) times in group B and 6.6 卤0.7 times in group B. There was no significant difference in dialysis frequency between the two groups (P 0.05); the reverse percolation endotoxin in modified mobile water treatment was 0.220 卤0.060 渭 m / mL, the bacterial count was 50.62 卤19.69 CFU / mL, the resistivity was 9.892 卤1.609) 渭惟 / cm; in the central water treatment system, endotoxin in reverse seepage was 0.209 卤0.057 EUU / mL, bacterial count was 48.81 卤19.04g CFU / mL, resistivity was 0.01 卤0.622) 渭惟 / cm, in two kinds of water, the endotoxin was 0.209 卤0.057 渭 m / mL, and the bacterial count was 48.81 卤19.04 渭 m / mL, and the resistivity was 0.01 卤0.622 渭惟 / cm, respectively. There was no significant difference in quality indexes (P 0.05), but there was significant difference in resistivity (P 0.001). Conclusion: the improved mobile water treatment system has the same efficacy as the central water treatment system in dialysis of acute renal failure caused by training injury.
【作者单位】：解放军第451医院;解放军94162部队医院;
【分类号】：R82

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