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- W2393077737 abstract "Objective:To investigate the effect of different modes of blood purification on prognosis of acute renal failure(ARF) following multiple bee stings. Methodology:Eighty-one paients with bee stings injury during 1997~2007 were retrospectively analyzed,in which 65 cases(80.2%)suffered from ARF and 60 cases(70.4%) complicated with multiple organs dysfunctional syndrome(MODS).Among them,63 cases(APACHE scores:19.2±4.6) administered blood purification were divided into three groups.They were 1) CVVH/IHD group: early intervention of continuous veno-venous hemofiltration(CVVH)during 24~72 hrs,and then intermitent hemodialysis(IHD) when conditions of patients were stable;2) IHD group: IHD was performed three times per week;and 3) peritoneal dialysis(PD) group:routine PD wes used. Results:(1)In CVVH/IHD group,19 cases(95%) were improved and discharged,but 1 case(5%) died.(2)In IHD group,30 cases(78.9%) were improved,but 3 died(7.9%),and 5 cases(13.2%) lost follow up.(3)PD group: none of patients was improved,2(33.3%) died,3(50%) came to end stage renal disease(ESRD) and 1 case lost follow up.Survival and clinical improvement rates in CVVH/IHD and IHD groups were better than that in PD group.There were no significant differences of survival and clinical improvement rates between CVVH/IHD and IHD groups,while in the early stage,the extents of the decline in total bilirubin,creatine kinase and white blood were better in CVVH/IHD group than the IHD group(P0.05).And adverse reactions(low blood pressure) in the CVVH/IHD group were lower than the IHD group. Conclusion:Early CVVH treatment might be useful in the improvement of impairing organ functions and shortening the hospitalization,but whether can increase the survival rate have yet to be confirmed." @default.
- W2393077737 created "2016-06-24" @default.
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- W2393077737 date "2009-01-01" @default.
- W2393077737 modified "2023-09-23" @default.
- W2393077737 title "Effect of different modes of blood purification on prognosis of acute renal failure from bee bite" @default.
- W2393077737 hasPublicationYear "2009" @default.
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