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急性肾衰竭
相关语句
  acute renal failure
    Objective To evaluate the efficiency and prognosis of continuous renal replacement therapy(CRRT) in patients with multiple organ dysfunction syndrome(MODS) and acute renal failure(ARF) after cardiac surgery.
    目的 探讨连续性肾脏替代治疗(CRRT)在心脏术后多脏器功能障碍综合征(MODS)合并急性肾衰竭(ARF)中的疗效和预后。
短句来源
    CLINICAL USE OF BLOOD PURIFICATION IN ACUTE RENAL FAILURE ASSOCIATED WITH MULTIPLE ORGAN DYSFUNCTION
    血液净化技术在急性肾衰竭并发MODS中的应用
短句来源
    Background and Purpose Renal replacement therapy plays a very important role in the treatment of acute renal failure (ARF).
    背景和目的 肾脏替代治疗已明显改善了肾衰竭患者的预后,使急性肾衰竭(ARF)死亡率降低至30%。
短句来源
    Methods The study was performed in 12 multiple organ dysfunstion syndrome(MODS) patients with acute renal failure(ARF). They were randomized to receive either CVVH (n =10) or HVHF(n=8).
    方法 将 12例确诊为合并急性肾衰竭 (ARF)的 MODS患者随机分为两组 ,分别应用 CVVH和 HVHF方式治疗 ;
短句来源
    Acute renal damage is common in patients with cerebral haemorrhage and mortality will increase if acute renal failure occurs.
    脑出血伴发急性肾功能损害临床较为常见 ,一旦发生急性肾衰竭 ,病死率很高。
短句来源
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  “急性肾衰竭”译为未确定词的双语例句
    Methods IHD and CRRT were applied in 22 and 30 ARF patients with MODS, respectively. The effects were compared between the two groups.
    ②方法 应用间歇式血液透析(IHD)治疗急性肾衰竭并MODS病人22例,连续性肾脏替代(CRRT)治疗急性肾衰竭并MODS病人30例,比较其疗效。
短句来源
    Conclusion CRRT is more effective than IHD for ARF patients with MODS.
    ④结论 对于急性肾衰竭并MODS病人更宜行CRRT治疗。
短句来源
    ObjectiveTo determine the method of constructing the bioartificial renal tubule assist device (RAD) in vitro and the effect of RAD treating MODS/MOF with ARF animal models. Further investingation was taken to optimize the function of RAD by gene transfection.
    探讨生物人工肾小管的体外构建方法,对急性肾衰竭合并多脏器功能障碍综合征/多器官衰竭(ARF并MODS/MOF)的治疗作用以及通过基因工程的方法使其功能进一步优化(肾小管上皮细胞永生化),旨在体外能生物性模拟。
短句来源
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  acute renal failure
Intra-abdominal hypertension is an independent cause of acute renal failure after orthotopic liver transplantation
      
An independent association between acute renal failure (ARF) and intra-abdominal hypertension (IAH) after liver transplantation has not been established previously.
      
The main complications after transplantation included pulmonary infection in two cases, acute renal failure in three cases and transplantation-related encephalopathy in one case.
      
Mitochondrial dysfunction at the early stage of cisplatin-induced acute renal failure in rats
      
The present study was undertaken to clarify the pathogenesis of cisplatin-induced acute renal failure at the early stage.
      
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Objective To investigate whether serum tumor necrosis factor-α(TNF-α) and its receptors can be removed by high-volume hemofiltration( HVHF) or continuous veno-venous hemofiltration(CVVH). Methods The study was performed in 12 multiple organ dysfunstion syndrome(MODS) patients with acute renal failure(ARF). They were randomized to receive either CVVH (n =10) or HVHF(n=8). TNF-α and soluble tumor necrosis factor-receptor(sTNF-R1 and sTNF-R2) concentrations were measured in serum by enzyme-linked immunoadsorbent...

Objective To investigate whether serum tumor necrosis factor-α(TNF-α) and its receptors can be removed by high-volume hemofiltration( HVHF) or continuous veno-venous hemofiltration(CVVH). Methods The study was performed in 12 multiple organ dysfunstion syndrome(MODS) patients with acute renal failure(ARF). They were randomized to receive either CVVH (n =10) or HVHF(n=8). TNF-α and soluble tumor necrosis factor-receptor(sTNF-R1 and sTNF-R2) concentrations were measured in serum by enzyme-linked immunoadsorbent assay(ELISA). Results Compared with that before the therapy, the average concentrations of plasma crea tinine and urea were decreased significantly 8 hours after HVHF or CVVH in M ODS patients with ARF (P<0.001). In patients on HVHF, the serum TNF-α concentrations were significantly lower 8 hours after treatment (P<0.01) compared with that before treatment, 1 hour and 4 hours after treatment. There were not significant changes in the serum TNF-α concentrations in patients on CVVH and the serum sTNF-R1 a nd sTNF-R2 concentrations in patients on CVVH or HVHF. Conclusion In MODS patients with ARF undergoing HVHF, the serum TNF-α concent rations dropped significantly, but the serum sTNF-R1 and sTNF-R2 concentrations do not change significantly. Our study suggest t hat HVHF may be the better option for the treatment of MODS patients.

目的 探讨高容量血液滤过 (HVHF)和连续性静静脉血液滤过 (CVVH)对多器官功能障碍综合征 (MODS)患者肿瘤坏死因子 α(TNFα)及可溶性 TNF受体 (s TNF R1和 s TNF R2 )水平的影响。方法 将 12例确诊为合并急性肾衰竭 (ARF)的 MODS患者随机分为两组 ,分别应用 CVVH和 HVHF方式治疗 ;用酶联免疫吸附法 (EL ISA)测定 CVVH和 HVHF治疗过程中血清 TNFα、s TNF R1和 s TNF R2水平。结果  HVHF和 CVVH治疗 8h后 ,患者血浆中肌酐 (SCr)和尿素氮 (BU N)均降低 (P均 <0 .0 5 )。在 HVHF治疗期间 ,血清 TNFα水平逐渐降低 ,以治疗后 8h下降最明显 ,与治疗前、治疗后 1h和 4 h血清TNFα水平比较均有显著性差异 (P均 <0 .0 0 1)。在 CVVH治疗期间血清 TNFα水平以及 CVVH和HVHF治疗过程中血清 s TNF R1、s TNF R2水平均无明显的变化 (P均 >0 .0 5 )。结论  HVHF治疗能明显增加 MODS患者的血清 TNFα清除能力 ,其对...

目的 探讨高容量血液滤过 (HVHF)和连续性静静脉血液滤过 (CVVH)对多器官功能障碍综合征 (MODS)患者肿瘤坏死因子 α(TNFα)及可溶性 TNF受体 (s TNF R1和 s TNF R2 )水平的影响。方法 将 12例确诊为合并急性肾衰竭 (ARF)的 MODS患者随机分为两组 ,分别应用 CVVH和 HVHF方式治疗 ;用酶联免疫吸附法 (EL ISA)测定 CVVH和 HVHF治疗过程中血清 TNFα、s TNF R1和 s TNF R2水平。结果  HVHF和 CVVH治疗 8h后 ,患者血浆中肌酐 (SCr)和尿素氮 (BU N)均降低 (P均 <0 .0 5 )。在 HVHF治疗期间 ,血清 TNFα水平逐渐降低 ,以治疗后 8h下降最明显 ,与治疗前、治疗后 1h和 4 h血清TNFα水平比较均有显著性差异 (P均 <0 .0 0 1)。在 CVVH治疗期间血清 TNFα水平以及 CVVH和HVHF治疗过程中血清 s TNF R1、s TNF R2水平均无明显的变化 (P均 >0 .0 5 )。结论  HVHF治疗能明显增加 MODS患者的血清 TNFα清除能力 ,其对 s TNF R1和 s TNF R2等抗炎介质的影响较小。在MODS患者连续性肾脏替代 (CRRT)治疗方式选择上 ,更宜选用 HVHF治疗。

Acute renal damage is common in patients with cerebral haemorrhage and mortality will increase if acute renal failure occurs. We review relevant data about incidence,mechanism, Influencing factors and preventive measures of acute renal damage occurring in the patients with cerebral haemorrhage.

脑出血伴发急性肾功能损害临床较为常见 ,一旦发生急性肾衰竭 ,病死率很高。本文回顾近年来国内外有关文献 ,就其发生率、发病机制、影响因素及预防措施进行综述

Objective To evaluate the efficiency and prognosis of continuous renal replacement therapy(CRRT) in patients with multiple organ dysfunction syndrome(MODS) and acute renal failure(ARF) after cardiac surgery.Methods Fourty-seven patients with MODS and acute renal failure(ARF) after cardiac surgery were treated with CRRT. They were divided into two groups according to prognosis:26 survival as group A and 21 death as group B.MODS scores,APACHE Ⅲ scores,heartfunction grade before surgery, duration of extracorporeal...

Objective To evaluate the efficiency and prognosis of continuous renal replacement therapy(CRRT) in patients with multiple organ dysfunction syndrome(MODS) and acute renal failure(ARF) after cardiac surgery.Methods Fourty-seven patients with MODS and acute renal failure(ARF) after cardiac surgery were treated with CRRT. They were divided into two groups according to prognosis:26 survival as group A and 21 death as group B.MODS scores,APACHE Ⅲ scores,heartfunction grade before surgery, duration of extracorporeal circulation,duration from ARF and urine volume <0.5ml·Kg -1 ·h -1 to CRRT, mean arterial pressure(MAP),oxygenic index,blood urea nitrogen(BUN) and serum creatinine(Scr) were analyzed and compared.Results ① Before CRRT the numbers of impaired organs of patients in group B were significantly more than that in group A(P<0.05);② MODS scores (12.5±2.8 vs 7.6 ± 2.7,P<0.05)and APACHE Ⅲ scores (85.1±16.8 vs 71.1±16.7,P<0.05)of group B were significantly higher than that of group A before CRRT. After a 12-hour,s treatment of CRRT,APACHE Ⅲ scores and MODS scores in group A were significantly decreased (P<0.05); ③ After a 12-hour,s treatment of CRRT,BUN and Scr were significantly decreased in all patients,but oxygenic index was significantly increased only in group A (P<0.05); ④ The duration of ARF before CRRT(32.3±39.3 hours vs 12.7±10.7 hours, P<0.05)and the time of urine volume < 0.5ml·Kg -1 ·h -1 before CRRT(37.7±39.2 hours vs 15.7±14.8 hours, P<0.05)were significantly higher than that of group A.Conclusion There is higher mortality rate in patients with more impaired organs after cardiac operation.MODS scores and APACHE Ⅲ scores can be used to evaluate the severity and prognosis of patients with MODS and ARF after cardiac surgery. CRRT is an important treatment to these patients.But the most important problem in this process is the recognition of ARF and early beginning of the therapy.The prognosis of these patients correlated with early CRRT therapy.It is suggested that early CRRT therapy is beneficial for prognosis and reducing mortality rate of these patients.

目的 探讨连续性肾脏替代治疗(CRRT)在心脏术后多脏器功能障碍综合征(MODS)合并急性肾衰竭(ARF)中的疗效和预后。方法 将4 7例行CRRT治疗的心脏术后MODS合并ARF患者分为存活组(A组,2 6例)和死亡组(B组,2 1例) ,分别进行MODS评分、APACHEⅢ评分、术前心功能分级、体外循环时间、CRRT距ARF和尿量<0 .5ml·Kg-1·h-1时间、平均动脉压(MAP)、氧合指数、血尿素氮(BUN)和血肌酐(Scr)等指标的比较。结果 ①治疗前B组受损的器官数明显多于A组(P <0 .0 5 ) ;②CRRT前B组MODS评分和APACHEⅢ评分显著高于A组(P <0 .0 5 ) ,CRRT治疗12h后,仅A组MODS评分和APACHEⅢ评分明显下降(P <0 .0 5 ) ;③CRRT治疗12h后,两组血尿素氮和血肌酐均明显降低,仅A组氧合指数增高(P <0 .0 5 ) ;④B组的CRRT距ARF和尿量<0 .5ml·Kg-1·h-1时间明显高于A组(P <0 .0 5 )。结论 心脏术后MODS器官损害数多的患者病死率高。将MODS评分与APACHEⅢ评分系统结合应用...

目的 探讨连续性肾脏替代治疗(CRRT)在心脏术后多脏器功能障碍综合征(MODS)合并急性肾衰竭(ARF)中的疗效和预后。方法 将4 7例行CRRT治疗的心脏术后MODS合并ARF患者分为存活组(A组,2 6例)和死亡组(B组,2 1例) ,分别进行MODS评分、APACHEⅢ评分、术前心功能分级、体外循环时间、CRRT距ARF和尿量<0 .5ml·Kg-1·h-1时间、平均动脉压(MAP)、氧合指数、血尿素氮(BUN)和血肌酐(Scr)等指标的比较。结果 ①治疗前B组受损的器官数明显多于A组(P <0 .0 5 ) ;②CRRT前B组MODS评分和APACHEⅢ评分显著高于A组(P <0 .0 5 ) ,CRRT治疗12h后,仅A组MODS评分和APACHEⅢ评分明显下降(P <0 .0 5 ) ;③CRRT治疗12h后,两组血尿素氮和血肌酐均明显降低,仅A组氧合指数增高(P <0 .0 5 ) ;④B组的CRRT距ARF和尿量<0 .5ml·Kg-1·h-1时间明显高于A组(P <0 .0 5 )。结论 心脏术后MODS器官损害数多的患者病死率高。将MODS评分与APACHEⅢ评分系统结合应用,能较精确地评定心脏术后MODS合并ARF患者病情的严重程度。CRRT是该类患者治疗的有效手段,但必须强调早期ARF诊断和及时CRRT治疗,行CRRT治疗越晚其预后越差,尽早行CRRT治疗,对改善患者的预后有积极作用。

 
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